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Montana rates for HCPCS 11042

Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $870.96 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $93.33 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $173.78 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $100.00 / $204.17
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $181.97 / $239.88
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $181.97 / $239.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $104.71 / $194.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $102.33 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $112.20 / $223.87