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Montana rates for HCPCS 14000

Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,792.00 / $2,792.00 / $2,792.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.49 / $535.98 / $1,042.99
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
$679.33 / $799.22 / $1,011.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.22 / $799.22 / $799.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.00 / $836.33 / $1,026.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.31 / $623.47 / $1,124.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.77 / $845.50 / $1,198.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.95 / $1,037.60 / $1,133.85