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Montana rates for HCPCS 12014

Simple Repair F/E/E/N/L/M 5.1cm-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.19 / $530.10 / $1,294.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.87 / $126.75 / $386.70
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
$100.11 / $117.78 / $226.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.78 / $117.78 / $117.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.78 / $157.93 / $233.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.86 / $128.51 / $314.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.28 / $150.01 / $270.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.90 / $236.00 / $322.69