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Montana rates for HCPCS 12047

Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.37 / $1,814.31 / $2,841.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.40 / $558.40 / $558.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.64 / $628.55 / $921.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.81 / $532.16 / $851.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.53 / $663.38 / $1,044.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.50 / $894.94 / $977.95