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Montana rates for HCPCS 17003

Destruction Premalignant Lesion 2-14 Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $92.87 / $146.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $27.00 / $84.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$0.96 / $5.65 / $16.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $3.15 / $10.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $3.15 / $3.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $5.76 / $10.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $6.06 / $12.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $6.50 / $12.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.80 / $10.03 / $11.61