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Montana rates for HCPCS 11970

Replacement of tissue expander with permanent implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,784.54 / $8,784.54 / $8,784.54
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
$891.23 / $891.23 / $891.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.18 / $608.07 / $1,359.52