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Montana rates for HCPCS 17250

Chemical cauterization of granulation tissue (ie, proud flesh)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.95 / $420.70 / $694.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.59 / $72.15 / $222.42
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
$50.50 / $59.42 / $137.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.42 / $59.42 / $59.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.51 / $62.72 / $137.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.15 / $80.81 / $131.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.88 / $84.23 / $168.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.68 / $140.36 / $155.55