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Montana rates for HCPCS 15822

Blepharoplasty Upper Eyelid

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$3,570.00 / $3,570.00 / $3,570.00
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
$630.42 / $630.42 / $630.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.78 / $463.42 / $890.26