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Montana rates for HCPCS 96920

Excimer Laser Tx Psoriasis Tot Area <250 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.65 / $168.96 / $237.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.02 / $98.85 / $245.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.85 / $98.85 / $291.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.02 / $143.94 / $273.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.05 / $144.59 / $290.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.02 / $150.60 / $298.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.72 / $271.99 / $292.18