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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
$1,202.26 / $1,548.82 / $4,570.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,187.76 / $2,511.89
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,570.40 / $3,162.28
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,570.40 / $3,162.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,819.70 / $3,162.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $2,041.74 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,454.71 / $2,818.38