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Montana rates for HCPCS 42415

Exc Prtd Tum/Prtd Glnd Lat Dsj&Prsrv Facial Nr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,740.99 / $11,740.99 / $12,302.77
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
$1,677.30 / $1,677.30 / $1,677.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.96 / $1,505.14 / $2,087.25