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Montana rates for HCPCS 42225

Palatop Cl Palate Attachment Pharyngeal Flap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.18 / $987.57 / $5,240.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.06 / $1,550.06 / $1,550.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.11 / $1,401.36 / $2,414.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.62 / $1,312.50 / $1,707.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.33 / $1,585.25 / $2,641.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.28 / $1,574.95 / $2,315.67