go back

Montana rates for HCPCS 11104

Punch Biopsy Skin Single Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.11 / $450.90 / $3,112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.50 / $119.09 / $339.20
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
$73.09 / $73.09 / $197.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.09 / $73.09 / $73.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.13 / $73.09 / $197.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.20 / $73.09 / $190.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.13 / $122.61 / $241.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.56 / $210.63 / $228.80