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Montana rates for HCPCS 40845

Vestibuloplasty; complex (including ridge extension, muscle repositioning)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.38 / $1,567.94 / $7,766.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,904.97 / $1,904.97 / $1,904.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,602.04 / $2,082.98 / $2,475.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.49 / $2,497.94 / $2,710.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.79 / $1,930.34 / $2,672.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,978.69 / $2,483.90 / $4,113.46