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Montana rates for HCPCS 11404

Exc B9 Lesion Mrgn Xcp Sk Tg T/A/L 3.1-4.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,909.85 / $2,909.85 / $2,909.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.78 / $177.11 / $854.47
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
$222.12 / $261.32 / $355.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.32 / $261.32 / $261.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.53 / $270.05 / $357.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.27 / $218.73 / $359.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.67 / $297.83 / $423.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.66 / $367.72 / $405.76