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Montana rates for HCPCS 19101

Biopsy Breast Open Incisional

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,316.02 / $4,316.02 / $12,454.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.87 / $301.98 / $1,157.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.39 / $354.39 / $623.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.39 / $354.39 / $354.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.43 / $370.73 / $564.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.06 / $541.45 / $597.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.13 / $360.19 / $564.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.14 / $563.17 / $918.52