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Montana rates for HCPCS 12051

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $100.44 / $1,178.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.37 / $250.02 / $895.75
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
$227.04 / $267.11 / $448.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.11 / $267.11 / $267.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.04 / $285.76 / $448.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.54 / $264.44 / $443.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.40 / $322.56 / $537.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.55 / $456.07 / $495.50