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Montana rates for HCPCS 15730

Midface Flap W/Preservation Of Vascular Pedicles

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.51 / $1,624.41 / $7,005.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.17 / $1,440.17 / $1,440.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.65 / $1,548.74 / $2,243.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.50 / $1,321.52 / $2,172.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.14 / $1,703.09 / $2,693.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,319.31 / $2,534.05 / $2,760.64