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Montana rates for HCPCS 88311

Decalcification procedure (List separately in addition to code for surgical pathology examination)

Facilitymedian $35 · 10th–90th $34$440%50%10th90th$35Professionalmedian $26 · 10th–90th $11$520%20%10th90th$26$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $31.62 / $154.88
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $25.70 / $52.48
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$5.01 / $8.51 / $17.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $34.67
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $18.20 / $20.89
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.80
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $35.48 / $43.65
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $35.48 / $43.65
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $44.67
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $32.36 / $46.77
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $18.20 / $27.54
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$8.13 / $13.49 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $35.48
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.76 / $7.94 / $20.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$5.13 / $5.37 / $14.45