go back

Montana rates for HCPCS 11954

Subcutaneous injection of filling material (eg, collagen); over 10.0 cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.48 / $593.82 / $835.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.09 / $175.09 / $175.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.83 / $192.64 / $261.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.06 / $157.29 / $271.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.83 / $209.36 / $299.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.92 / $267.87 / $290.57