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Montana rates for HCPCS 20103

Exploration of penetrating wound (separate procedure); extremity

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $954.99 / $1,023.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $588.84 / $1,047.13