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Montana rates for HCPCS 40842

Vestibuloplasty; posterior, unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.84 / $3,575.44 / $4,857.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.22 / $1,108.71 / $1,475.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.75 / $1,081.09 / $1,503.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.41 / $1,519.60 / $2,592.78