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Montana rates for HCPCS 42180

Repair Laceration Palate <2 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.51 / $233.67 / $1,337.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.41 / $253.41 / $344.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.13 / $298.13 / $298.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.51 / $298.13 / $570.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.42 / $274.27 / $432.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.12 / $405.06 / $651.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.99 / $406.89 / $517.52