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Montana rates for HCPCS 15733

Musc Myoq/Fscq Flap Head&Neck W/Named Vasc Pedcl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.25 / $968.76 / $1,619.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,622.09 / $1,622.09 / $1,622.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.07 / $1,622.09 / $1,768.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.39 / $1,001.89 / $1,603.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.76 / $1,475.80 / $1,989.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.02 / $1,766.46 / $1,924.41