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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
$183.21 / $183.21 / $7,516.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $151.84 / $779.62
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
$202.01 / $237.66 / $314.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.66 / $237.66 / $237.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.42 / $245.60 / $315.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.02 / $192.91 / $326.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.42 / $262.68 / $373.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.42 / $323.64 / $353.66