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Montana rates for HCPCS 67440

Orbitotomy Bone Flap/Window Lateral W/Drg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,658.43 / $6,786.30 / $6,786.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.46 / $2,108.46 / $2,108.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,231.13 / $1,242.02 / $2,108.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $1,488.33 / $2,287.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.40 / $1,823.58 / $2,515.19
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
$1,805.71 / $2,096.69 / $2,422.05