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Montana rates for HCPCS 12017

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.32 / $151.47 / $785.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.87 / $241.87 / $241.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.87 / $257.24 / $293.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.28 / $163.15 / $451.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.90 / $241.87 / $295.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.92 / $264.32 / $423.34