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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
$2,567.46 / $8,905.17 / $8,905.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,373.71 / $2,959.96 / $2,959.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,373.71 / $2,959.96 / $2,959.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,489.16 / $2,819.01 / $2,959.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,221.59 / $2,373.71 / $2,962.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.36 / $1,332.55 / $2,113.41