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Montana rates for HCPCS 15738

Musc Myocutaneous/Fasciocutaneous Flap Lxtr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.69 / $1,243.33 / $2,433.51
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
$1,697.89 / $1,697.89 / $1,697.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,997.51 / $1,997.51 / $1,997.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.76 / $1,997.51 / $2,325.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.13 / $1,476.54 / $2,751.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.27 / $1,997.51 / $2,452.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,021.22 / $2,208.36 / $2,405.83