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Montana rates for HCPCS 15750

Flap; neurovascular pedicle

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,477.50 / $1,477.50 / $1,477.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.60 / $1,004.21 / $2,024.80