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Montana rates for HCPCS 15840

Graft for facial nerve paralysis; free fascia graft (including obtaining fascia)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,597.38 / $1,597.38 / $1,597.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.14 / $1,079.53 / $2,257.94