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Montana rates for HCPCS 40700

Plstc Rpr Cl Lip/Nsl Dfrm Prim Prtl/Compl Uni

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.37 / $1,005.99 / $5,325.71
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
$1,592.65 / $1,592.65 / $1,592.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.11 / $1,592.65 / $1,709.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.63 / $1,086.39 / $2,194.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.38 / $1,592.65 / $1,951.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.29 / $1,695.34 / $1,852.59