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Montana rates for HCPCS 21931

Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,238.58 / $4,664.16 / $5,193.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.52 / $479.79 / $3,214.44
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
$673.87 / $748.74 / $748.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.74 / $748.74 / $748.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.03 / $748.74 / $786.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.92 / $463.65 / $874.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.55 / $748.74 / $981.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.74 / $777.12 / $871.68