go back

Montana rates for HCPCS 15101

Split Agrft T/A/L Ea 100 Cm/Ea 1% Bdy Inft/Chld

Insurance Carrier
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
$173.51 / $173.51 / $173.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.01 / $173.51 / $311.35