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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
$138.04 / $186.21 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $257.04 / $295.12
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $269.15 / $309.03
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $269.15 / $309.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $186.21 / $363.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $208.93 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $263.03 / $426.58