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Montana rates for HCPCS 67430

Orbitotomy Bone Flap/Window Lateral Rmvl Fb

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,707.82 / $7,004.87 / $7,004.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,173.66 / $2,173.66 / $2,173.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.10 / $1,291.44 / $2,173.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $1,535.08 / $2,173.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.79 / $1,878.11 / $2,592.54
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
$1,854.37 / $2,089.91 / $2,500.42