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Montana rates for HCPCS 22903

Exc Tumor Soft Tissue Abdominal Wall Subq 3 Cm/>

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,971.68 / $14,971.68 / $14,971.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.97 / $412.16 / $1,689.00
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
$701.94 / $701.94 / $701.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.94 / $701.94 / $701.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.60 / $701.94 / $735.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.42 / $774.15 / $822.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.40 / $638.16 / $920.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.41 / $762.25 / $1,224.71