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Montana rates for HCPCS 12001

Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.45 / $329.65 / $535.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.68 / $90.42 / $344.00
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
$70.45 / $70.45 / $149.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.45 / $70.45 / $70.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.45 / $111.10 / $151.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.69 / $84.18 / $201.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.33 / $91.08 / $177.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.61 / $152.22 / $234.84