go back

Montana rates for HCPCS 14302

Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $5,685.24 / $7,633.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.78 / $230.45 / $4,212.12
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
$286.04 / $336.51 / $336.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.51 / $336.51 / $336.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.97 / $336.51 / $374.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.47 / $228.27 / $481.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.10 / $336.51 / $414.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.20 / $372.30 / $405.59