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Montana rates for HCPCS 12014

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $524.81 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $138.04 / $380.19
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
$100.00 / $117.49 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $158.49 / $234.42
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $223.87 / $269.15
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $223.87 / $269.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $138.04 / $251.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $138.04 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $204.17 / $257.04