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Montana rates for HCPCS 21137

Reduction forehead; contouring only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,000.00 / $1,905.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $977.24 / $1,202.26
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,288.25 / $1,548.82
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,288.25 / $1,548.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,047.13 / $1,513.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,023.29 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,230.27 / $1,445.44