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Montana rates for HCPCS 15736

Muscle, myocutaneous, or fasciocutaneous flap; upper extremity

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,922.85 / $1,922.85 / $1,922.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.00 / $1,424.83 / $2,547.52