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Montana rates for HCPCS 67974

Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.54 / $1,437.54 / $1,437.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,165.90 / $1,710.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,490.00 / $1,490.00 / $1,490.00