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Montana rates for HCPCS 12035

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.38 / $311.43 / $635.42
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
$323.58 / $380.68 / $615.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.68 / $380.68 / $380.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.58 / $401.58 / $628.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.48 / $377.09 / $611.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.58 / $459.52 / $736.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.21 / $639.74 / $699.08