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Montana rates for HCPCS L8046

Partial facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,781.89 / $9,648.82 / $9,648.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,808.29 / $3,207.08 / $3,207.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.29 / $3,207.08 / $3,207.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,613.42 / $3,054.36 / $3,207.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.05 / $2,460.40 / $3,343.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.88 / $1,443.74 / $2,289.77