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Montana rates for HCPCS 67973

Rcnstj Eyelid Full Thickness Lower Eyelid 1 Stg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.33 / $828.97 / $1,118.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,441.22 / $1,441.22 / $1,441.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,441.22 / $1,441.22 / $1,441.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.17 / $968.70 / $1,533.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,170.21 / $1,441.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.72 / $1,225.04 / $1,706.56
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
$1,398.14 / $1,525.98 / $1,841.71