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Montana rates for HCPCS 15650

Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.82 / $2,011.77 / $2,707.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.48 / $641.48 / $641.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.92 / $641.48 / $860.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.39 / $530.19 / $856.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.75 / $689.70 / $1,022.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.52 / $848.90 / $932.64