go back

Montana rates for HCPCS 12013

Simple Repair F/E/E/N/L/M 2.6cm-5.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.10 / $474.16 / $790.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.43 / $104.90 / $448.00
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
$90.96 / $90.96 / $185.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.96 / $90.96 / $90.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.96 / $131.30 / $197.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.26 / $104.83 / $269.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.83 / $122.32 / $222.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.07 / $194.10 / $274.50