go back

Montana rates for HCPCS 12031

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $1,862.09 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $229.09 / $660.69
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
$204.17 / $239.88 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $257.04 / $416.87
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $389.05 / $489.78
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $389.05 / $489.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $229.09 / $398.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $257.04 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $323.59 / $457.09