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Montana rates for HCPCS 17312

Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels; each additional stage after the first stage, up to 5 tissue blocks (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $457.09 / $1,148.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $549.54 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $338.84 / $645.65
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $416.87 / $724.44
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $416.87 / $724.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $354.81 / $630.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $338.84 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $478.63 / $707.95