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Montana rates for HCPCS 11772

Excision Pilonidal Cyst/Sinus Complicated

Insurance Carrier
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
$920.68 / $920.68 / $920.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.88 / $748.26 / $1,277.83