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Montana rates for HCPCS 14020

Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.56 / $646.97 / $1,155.52
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
$897.01 / $897.01 / $1,116.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.01 / $897.01 / $897.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.71 / $946.33 / $1,147.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.13 / $688.25 / $1,271.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.34 / $949.28 / $1,323.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.63 / $1,162.85 / $1,254.91