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Montana rates for HCPCS 67900

Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,423.05 / $4,423.05 / $4,423.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.22 / $613.12 / $2,652.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$2,975.00 / $2,975.00 / $2,975.00
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
$789.75 / $789.75 / $1,023.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.75 / $789.75 / $789.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.28 / $676.07 / $1,051.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.27 / $789.75 / $1,120.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.13 / $777.18 / $1,051.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $1,450.00 / $1,450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.21 / $1,061.40 / $1,226.09