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Montana rates for HCPCS 15734

Muscle, myocutaneous, or fasciocutaneous flap; trunk

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.02 / $1,330.43 / $4,559.54
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
$2,011.63 / $2,011.63 / $2,011.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,366.63 / $2,366.63 / $2,366.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.40 / $2,366.63 / $2,493.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.54 / $1,755.30 / $2,928.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.90 / $2,206.94 / $2,899.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,267.73 / $2,572.98 / $2,764.00