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Montana rates for HCPCS 11043

Debridement Muscle &/Fascia 1st 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.14 / $604.75 / $3,689.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.43 / $166.00 / $945.00
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
$204.69 / $240.82 / $312.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.82 / $240.82 / $240.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.82 / $262.02 / $377.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.19 / $225.16 / $465.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.69 / $285.26 / $437.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.27 / $391.75 / $436.75