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Montana rates for HCPCS 12042

Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.80 / $437.00 / $562.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.19 / $251.46 / $711.00
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
$261.89 / $308.12 / $490.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.12 / $308.12 / $308.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.89 / $333.49 / $490.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.07 / $299.29 / $481.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.69 / $371.20 / $586.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.20 / $495.33 / $541.27