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Montana rates for HCPCS 40652

Repair Lip Full Thickness <Half Vertical Height

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.79 / $422.77 / $1,878.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.84 / $576.28 / $823.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.28 / $576.28 / $576.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.84 / $597.71 / $825.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.04 / $558.38 / $1,034.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.08 / $670.45 / $984.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $828.77 / $930.55