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Montana rates for HCPCS 22905

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,290.87 / $2,754.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,949.84 / $2,511.89