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Montana rates for HCPCS 24201

Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $588.84 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $707.95 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $616.60 / $933.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $912.01 / $1,122.02
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $912.01 / $1,122.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $645.65 / $1,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $630.96 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $707.95 / $1,000.00