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Montana rates for HCPCS 11403

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $2,290.87 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $173.78 / $562.34
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
$204.17 / $239.88 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $245.47 / $323.59
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $316.23 / $371.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $316.23 / $371.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $199.53 / $316.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $234.42 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $275.42 / $354.81