go back

Montana rates for HCPCS 0420T

Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities, extensive, greater than 100 neurofibromas

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.05 / $412.05 / $412.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.82 / $770.82 / $770.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.20 / $770.82 / $770.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.90 / $351.53 / $469.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.20 / $770.82 / $848.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.96 / $677.32 / $746.20