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Montana rates for HCPCS 28043

Excision Tumor Soft Tissue Foot/Toe Subq <1.5cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,356.67 / $5,356.67 / $5,356.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.56 / $355.62 / $3,230.00
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
$415.91 / $457.50 / $605.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.91 / $415.91 / $415.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.54 / $415.91 / $671.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.50 / $321.24 / $469.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.60 / $480.69 / $778.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.51 / $634.49 / $725.13