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Montana rates for HCPCS 10080

Incision & Drainage Pilonidal Cyst Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.89 / $487.89 / $1,694.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.40 / $147.28 / $413.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.12 / $167.20 / $396.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.20 / $167.20 / $167.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.12 / $172.34 / $396.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.29 / $230.18 / $381.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.18 / $243.38 / $485.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.25 / $347.43 / $385.02