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Montana rates for HCPCS 40650

Repair lip, full thickness; vermilion only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.70 / $695.70 / $695.70
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
$505.82 / $505.82 / $505.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.99 / $502.72 / $898.31