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Montana rates for HCPCS 15740

Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.50 / $946.36 / $4,052.00
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
$1,330.27 / $1,330.27 / $1,605.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,330.27 / $1,330.27 / $1,330.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.83 / $1,423.57 / $1,684.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.24 / $992.35 / $1,894.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.74 / $1,364.92 / $1,902.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,533.52 / $1,688.57 / $1,813.92