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Montana rates for HCPCS 96904

Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.98 / $79.17 / $372.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.31 / $108.31 / $108.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.76 / $103.01 / $157.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.58 / $103.01 / $135.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.34 / $113.10 / $122.32