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Montana rates for HCPCS 01953

Anesthesia for second- and third-degree burn excision or debridement with or without skin grafting, any site, for total body surface area (TBSA) treated during anesthesia and surgery; each additional 9% total body surface area or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $58.88 / $70.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $50.12 / $3,311.31