go back

Montana rates for HCPCS 11042

Debridement Subcutaneous Tissue 1st 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.27 / $876.62 / $3,133.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.35 / $82.23 / $311.81
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
$95.17 / $95.17 / $205.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.17 / $95.17 / $95.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.34 / $103.01 / $205.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.05 / $116.77 / $200.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.34 / $125.19 / $244.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.89 / $199.92 / $226.27