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Montana rates for HCPCS 40812

Exc Lesion Mucosa & Sbmcsl Vestibule Smpl Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,578.60 / $1,578.60 / $1,578.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.00 / $278.12 / $1,013.48
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
$288.14 / $288.14 / $437.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.14 / $288.14 / $288.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.05 / $338.14 / $490.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.05 / $465.40 / $521.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.72 / $300.02 / $490.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.92 / $481.08 / $783.46