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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
$151.36 / $275.42 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $245.47 / $446.68
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $380.19 / $457.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $229.09 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $371.54 / $630.96