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Montana rates for HCPCS 69727

Removal Entire Oi Implt Skl Mag Tc Attch Esp<100

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.15 / $483.15 / $483.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.91 / $843.91 / $843.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.52 / $843.91 / $843.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.95 / $517.44 / $843.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.90 / $679.42 / $1,004.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.00 / $839.99 / $1,478.15