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Montana rates for HCPCS 67875

Temporary Closure Eyelids Suture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.18 / $136.94 / $289.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.33 / $149.33 / $286.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.33 / $149.33 / $149.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.68 / $160.63 / $286.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.69 / $149.33 / $222.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.39 / $175.66 / $292.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.52 / $290.58 / $335.67