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Montana rates for HCPCS 10121

Incision and removal of foreign body, subcutaneous tissues; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,454.71 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $269.15 / $933.25
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
$245.47 / $288.40 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $309.03 / $457.09
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $446.68 / $489.78
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $489.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $269.15 / $436.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $288.40 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $346.74 / $489.78