go back

Montana rates for HCPCS 13153

Repair, complex, eyelids, nose, ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.38 / $178.97 / $729.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.95 / $212.95 / $291.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.95 / $212.95 / $212.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.01 / $236.87 / $320.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.99 / $179.58 / $311.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.05 / $247.60 / $349.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.82 / $316.10 / $345.42