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Montana rates for HCPCS 69955

Total Facial Nerve Decompression &/Repair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.86 / $3,502.63 / $10,287.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,105.37 / $3,105.37 / $3,105.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,211.56 / $3,105.37 / $3,321.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.23 / $3,452.15 / $3,719.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,893.45 / $2,840.46 / $4,097.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,708.61 / $3,370.80 / $5,465.80