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Montana rates for HCPCS 11622

Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,230.16 / $19,230.16 / $19,230.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.55 / $215.19 / $423.26
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
$226.59 / $266.58 / $401.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.58 / $266.58 / $266.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.59 / $285.76 / $420.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.38 / $245.31 / $420.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.94 / $311.82 / $476.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.00 / $413.25 / $459.50