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Montana rates for HCPCS 11901

Injection Intralesional >7 Lesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.02 / $64.63 / $299.00
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
$60.34 / $70.98 / $110.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.98 / $70.98 / $70.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.33 / $79.73 / $114.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.35 / $67.88 / $119.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.33 / $84.76 / $132.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.92 / $85.92 / $85.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.94 / $116.24 / $124.86