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Montana rates for HCPCS 62115

Rdctj Craniomegalic Skull W/O Graft/Cranioplasty

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.38 / $8,435.67 / $8,435.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,711.55 / $2,711.55 / $2,711.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.16 / $2,711.55 / $2,711.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,335.85 / $2,271.94 / $2,711.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.97 / $2,337.48 / $3,514.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,080.66 / $2,855.61 / $4,721.18