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Montana rates for HCPCS 69726

Removal Entire Oi Implt Skl Perq Attachment Esp

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.07 / $422.07 / $422.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.63 / $756.63 / $756.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.60 / $756.63 / $756.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.09 / $463.86 / $756.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.96 / $594.01 / $901.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.23 / $722.17 / $1,325.51