go back

Montana rates for HCPCS 12034

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $450.90 / $945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.16 / $282.99 / $578.90
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
$274.86 / $323.37 / $529.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.37 / $323.37 / $323.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.86 / $345.13 / $529.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.83 / $319.92 / $516.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.86 / $390.40 / $632.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.76 / $535.91 / $585.63