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Montana rates for HCPCS 21501

I&D Deep Absc/Hmtma Soft Tissue Neck/Thorax

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,028.60 / $11,028.60 / $11,028.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.89 / $426.80 / $702.72
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
$538.95 / $592.84 / $776.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.95 / $538.95 / $538.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.80 / $513.72 / $758.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.62 / $412.06 / $592.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.37 / $623.70 / $923.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.14 / $752.07 / $858.01