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Montana rates for HCPCS 11422

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.80 / $1,206.80 / $1,206.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.67 / $158.75 / $869.00
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
$183.24 / $215.58 / $284.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.58 / $215.58 / $215.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.91 / $225.23 / $288.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.69 / $174.20 / $302.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.63 / $240.35 / $338.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.72 / $296.38 / $323.87