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Montana rates for HCPCS G0168

Wound closure utilizing tissue adhesive(s) only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.91 / $63.91 / $63.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.60 / $75.06 / $482.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.66 / $23.14 / $192.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.14 / $23.14 / $23.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.14 / $47.48 / $192.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.03 / $73.68 / $153.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.62 / $121.96 / $238.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.51 / $178.77 / $194.75