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Montana rates for HCPCS 15758

Free Fascial Flap W/Microvascular Anastomosis

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.62 / $3,548.62 / $3,548.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,007.10 / $2,405.79 / $5,090.58