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Montana rates for HCPCS 11900

Injection, intralesional; up to and including 7 lesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $53.70 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $77.62 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $51.29 / $93.33
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $91.20 / $107.15
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $91.20 / $107.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $46.77 / $87.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $72.44 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $70.79 / $100.00