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Montana rates for HCPCS 50728

Revj Ur-Cutan Anast Rpr Fscal Dfct & Hernia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.59 / $3,847.90 / $3,847.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,102.08 / $1,102.08 / $1,102.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.17 / $1,102.08 / $1,165.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.17 / $1,281.80 / $1,321.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.47 / $1,046.31 / $1,509.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.72 / $1,262.07 / $1,911.98