go back

Montana rates for HCPCS 12036

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $416.87 / $1,047.13
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
$380.19 / $446.68 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $467.74 / $707.95
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $707.95 / $812.83
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $707.95 / $812.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $426.58 / $676.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $446.68 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $575.44 / $776.25