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Montana rates for HCPCS 15757

Free skin flap with microvascular anastomosis

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $3,981.07 / $4,168.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,454.71 / $4,073.80