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Montana rates for HCPCS L8691

Osseointegrated Snd Proc Rpl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,687.95 / $5,854.58 / $5,854.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.66 / $2,056.66 / $2,056.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.90 / $2,211.32 / $2,211.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,650.90 / $2,211.32 / $2,211.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.74 / $2,106.02 / $2,211.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,650.90 / $1,659.69 / $2,220.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,467.40 / $1,467.40 / $2,162.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.78 / $926.78 / $2,211.31