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Montana rates for HCPCS 10121

Incision & Removal Foreign Body Subq Tiss Comp

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.66 / $244.13 / $1,114.00
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
$246.71 / $290.24 / $419.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.24 / $290.24 / $290.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.70 / $309.04 / $451.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.37 / $256.88 / $434.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.70 / $342.18 / $499.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.44 / $450.09 / $491.84