go back

Montana rates for HCPCS 11960

Insertion of tissue expander(s) for other than breast, including subsequent expansion

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,608.42 / $1,608.42 / $1,608.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.93 / $1,099.33 / $2,062.67