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Montana rates for HCPCS D7260

Oroantral Fistula Closure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.25 / $632.99 / $632.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.00 / $813.00 / $813.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.99 / $1,073.99 / $1,073.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.85 / $616.33 / $889.00