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Montana rates for HCPCS 38900

Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $3,186.93 / $7,888.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.07 / $198.88 / $588.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.05 / $215.05 / $215.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.05 / $215.05 / $215.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.36 / $215.05 / $232.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.02 / $251.74 / $251.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.99 / $198.00 / $285.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.56 / $241.80 / $375.54