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Montana rates for HCPCS 25075

Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $524.81 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $562.34 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $489.78 / $794.33
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $812.83 / $933.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $812.83 / $933.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $537.03 / $831.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $537.03 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $602.56 / $891.25