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Montana rates for HCPCS 62120

Repair of encephalocele, skull vault, including cranioplasty

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,114.13 / $10,735.20 / $10,735.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,323.58 / $3,323.58 / $3,323.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,908.07 / $3,323.58 / $3,323.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,629.15 / $3,170.09 / $3,323.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,014.11 / $2,942.63 / $4,358.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,637.26 / $3,516.53 / $5,815.47