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Montana rates for HCPCS 11047

Debridement Bone Each Additional 20 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.88 / $80.23 / $188.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.43 / $151.43 / $151.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.95 / $166.45 / $205.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.13 / $117.17 / $216.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.42 / $163.61 / $226.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.10 / $149.10 / $149.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.91 / $204.75 / $223.74