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Montana rates for HCPCS 67901

Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.20 / $921.20 / $921.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.54 / $797.84 / $1,145.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $1,450.00 / $1,450.00