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Montana rates for HCPCS 69501

Transmastoid antrotomy (simple mastoidectomy)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,258.93 / $1,479.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,023.29 / $1,258.93