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Montana rates for HCPCS 15151

Cltr Skin Agrft T/A/L Addl 1 Cm-75 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.81 / $561.89 / $612.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.36 / $170.36 / $170.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.81 / $186.13 / $201.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.92 / $126.11 / $238.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.26 / $175.78 / $225.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.03 / $204.73 / $219.93