go back

Montana rates for HCPCS 12041

Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.60 / $717.60 / $7,058.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.12 / $236.00 / $756.16
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
$194.41 / $228.72 / $416.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.72 / $228.72 / $228.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.41 / $261.32 / $416.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.04 / $239.26 / $416.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.94 / $277.95 / $501.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.21 / $424.20 / $460.15