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Montana rates for HCPCS 13120

Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.88 / $274.52 / $573.71
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
$308.83 / $363.33 / $560.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.33 / $363.33 / $363.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.83 / $394.01 / $574.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.97 / $341.62 / $546.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.83 / $431.37 / $672.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.86 / $588.12 / $642.66