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Montana rates for HCPCS 11980

Subcutaneous hormone pellet implantation (implantation of estradiol and/or testosterone pellets beneath the skin)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $95.50 / $288.40
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
$87.10 / $125.89 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $93.33 / $158.49
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $158.49 / $173.78
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $158.49 / $173.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $91.20 / $154.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $93.33 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $134.90 / $173.78