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Montana rates for HCPCS 13152

Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.19 / $426.40 / $801.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.75 / $524.75 / $783.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.75 / $524.75 / $524.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.98 / $579.66 / $832.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.48 / $477.95 / $943.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.68 / $619.22 / $938.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.45 / $865.66 / $943.16