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Montana rates for HCPCS D7321

Alveoloplsty Not Cnjnc Xtrct 1-3 Teeth/Spce Quad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.50 / $204.50 / $204.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.68 / $246.68 / $246.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.78 / $307.19 / $443.10