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Montana rates for HCPCS 15155

Cltr Skin Agrft F/S/N/H/F/G/M/D Gt 1st 25cm/<

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.01 / $3,860.40 / $4,224.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.40 / $1,149.40 / $1,149.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.26 / $1,145.96 / $1,255.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.98 / $853.55 / $1,550.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.93 / $1,147.25 / $1,527.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.82 / $1,337.49 / $1,461.55