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Montana rates for HCPCS 15630

Delay Flap/Sctj Flap Eyelids Nose Ears/Lips

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.35 / $433.12 / $1,812.47
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
$545.78 / $545.78 / $734.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.78 / $545.78 / $545.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.91 / $577.34 / $758.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.24 / $451.81 / $778.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.55 / $621.78 / $872.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.65 / $770.54 / $827.74