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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
$313.27 / $1,854.72 / $5,059.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $226.75 / $462.47
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
$202.91 / $238.71 / $415.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.71 / $238.71 / $238.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.90 / $254.92 / $415.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.99 / $238.71 / $404.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.57 / $288.64 / $499.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.96 / $415.86 / $459.52