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Montana rates for HCPCS L8040

Nasal prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,041.74 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,951.21 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,454.71 / $2,951.21
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,754.23 / $5,370.32
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,754.23 / $5,370.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,630.27 / $4,168.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $2,290.87 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,778.28 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,318.26 / $2,041.74