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Montana rates for HCPCS 11771

Excision of pilonidal cyst or sinus; extensive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,798.81 / $6,798.81 / $7,925.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.14 / $716.14 / $716.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.82 / $609.70 / $975.52