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Montana rates for HCPCS 12020

Treatment of superficial wound dehiscence; simple closure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.50 / $226.15 / $290.91
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
$297.60 / $297.60 / $474.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.60 / $297.60 / $297.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.96 / $314.86 / $474.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.73 / $290.17 / $464.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.96 / $359.68 / $567.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.08 / $487.77 / $533.02