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Montana rates for HCPCS 41005

Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.77 / $207.43 / $1,180.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.03 / $184.03 / $360.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.07 / $236.96 / $506.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.30 / $295.10 / $579.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.64 / $364.81 / $437.57