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Montana rates for HCPCS 14061

Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.03 / $945.38 / $1,783.19
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
$1,096.32 / $1,289.79 / $1,578.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.79 / $1,289.79 / $1,289.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.32 / $1,385.16 / $1,671.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.00 / $974.88 / $1,848.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.47 / $1,342.13 / $1,868.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,474.72 / $1,673.24 / $1,797.45