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Montana rates for HCPCS 12015

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.00 / $152.00 / $557.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.75 / $147.75 / $147.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.14 / $153.97 / $383.87