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Montana rates for HCPCS 67902

Rpr Blepharopt Frontalis Musc Autol Fascal Sling

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.61 / $3,821.65 / $3,821.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.57 / $1,132.57 / $1,132.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.09 / $729.04 / $1,191.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.26 / $980.00 / $1,539.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.64 / $964.26 / $1,341.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,490.00 / $1,490.00 / $1,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.01 / $1,209.51 / $1,973.94