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Montana rates for HCPCS 11402

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,854.72 / $1,854.72 / $4,510.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.22 / $136.43 / $589.03
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
$183.50 / $183.50 / $272.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.50 / $183.50 / $183.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.97 / $189.73 / $272.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.88 / $166.78 / $266.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.82 / $215.05 / $325.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.67 / $280.14 / $306.12