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Montana rates for HCPCS 15731

Forehead Flap W/Preservation Vascular Pedicle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,424.14 / $7,424.14 / $7,424.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.61 / $5,252.21 / $5,914.80
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
$1,573.19 / $1,573.19 / $1,775.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,573.19 / $1,573.19 / $1,573.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.61 / $1,685.47 / $1,871.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.02 / $1,166.14 / $2,252.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.04 / $1,583.63 / $2,152.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,715.06 / $1,833.13 / $2,033.87