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Montana rates for HCPCS 40831

Closure of laceration, vestibule of mouth; over 2.5 cm or complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.28 / $296.68 / $1,913.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.06 / $317.06 / $465.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.06 / $381.79 / $570.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.56 / $331.61 / $561.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.46 / $600.62 / $826.02