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Montana rates for HCPCS C1734

Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.71 / $7,808.16 / $7,808.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,160.84 / $5,160.84 / $5,160.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $79,999.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.91 / $3,467.91 / $3,467.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.91 / $3,467.91 / $2,250,000.00