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Montana rates for HCPCS 40830

Closure of laceration, vestibule of mouth; 2.5 cm or less

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.27 / $894.36 / $1,502.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.77 / $229.77 / $424.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.77 / $283.43 / $450.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.87 / $247.45 / $428.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.34 / $462.85 / $629.91