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Montana rates for HCPCS 11004

Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia and perineum

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$885.45 / $885.45 / $885.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.77 / $600.05 / $1,257.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.05 / $701.05 / $701.05