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Montana rates for HCPCS D9951

Occlusal Adjustment - Limited

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.47 / $40.47 / $40.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.53 / $76.53 / $76.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.41 / $62.12 / $89.60