go back

Montana rates for HCPCS 69719

Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area of bone deep to the outer cranial cortex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.84 / $625.29 / $625.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.05 / $1,020.05 / $1,020.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.48 / $1,020.05 / $1,020.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.24 / $626.54 / $1,020.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.65 / $872.57 / $1,258.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.97 / $1,060.82 / $1,786.17