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Montana rates for HCPCS 40654

Rpr Lip Fth Over One-Half Vert Height/Complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.81 / $514.27 / $2,240.90
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
$679.33 / $679.33 / $932.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.33 / $679.33 / $679.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.42 / $714.70 / $952.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.89 / $630.54 / $1,231.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.75 / $783.28 / $1,108.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.71 / $720.71 / $2,962.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.70 / $958.74 / $1,047.67