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Montana rates for HCPCS 25111

Excision of ganglion, wrist (dorsal or volar); primary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $18,620.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $575.44 / $660.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $457.09 / $676.08