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Montana rates for HCPCS 0479T

Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part thereof, or 1% of body surface area of infants and children

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.39 / $319.39 / $319.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.25 / $443.25 / $443.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.07 / $376.76 / $443.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.52 / $313.43 / $463.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.12 / $341.06 / $559.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.05 / $557.96 / $618.33