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Montana rates for HCPCS 65114

Exntj Orbit Rmvl Orb Cnts W/Musc/Myoq Flap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,937.92 / $8,131.44 / $8,131.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,473.36 / $2,473.36 / $2,473.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.48 / $1,540.36 / $2,473.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $1,856.32 / $2,473.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,502.01 / $2,127.89 / $2,945.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,490.00 / $1,490.00 / $1,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,259.92 / $2,477.21 / $3,042.20