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Montana rates for HCPCS 10080

Incision and drainage of pilonidal cyst; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $177.83 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $165.96 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $173.78 / $398.11
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $288.40 / $467.74
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $288.40 / $467.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $190.55 / $389.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $173.78 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $245.47 / $380.19