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Montana rates for HCPCS 15845

Graft for facial nerve paralysis; regional muscle transfer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.34 / $5,352.85 / $5,352.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,679.41 / $1,679.41 / $1,679.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.31 / $1,679.41 / $1,683.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.93 / $1,145.43 / $2,259.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.85 / $1,666.27 / $2,055.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.45 / $1,680.27 / $1,854.08