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Montana rates for HCPCS 12002

Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.86 / $373.50 / $767.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.79 / $105.04 / $407.00
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
$92.54 / $92.54 / $180.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.54 / $92.54 / $92.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.54 / $124.00 / $180.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.93 / $101.27 / $244.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.33 / $118.12 / $215.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.71 / $186.43 / $249.48