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Montana rates for HCPCS 11012

Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,978.46 / $3,978.46 / $7,876.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.98 / $588.79 / $1,039.45
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
$554.19 / $651.99 / $1,027.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.99 / $651.99 / $651.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.19 / $719.85 / $1,172.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.04 / $625.62 / $1,166.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.19 / $779.35 / $1,229.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.09 / $1,141.06 / $1,225.76