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Montana rates for HCPCS 15221

Fth/Gft Fr W/Dir Clsr S/A/L Ea Addl 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.05 / $366.68 / $721.20
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
$107.79 / $107.79 / $107.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.62 / $120.76 / $226.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.79 / $118.00 / $227.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.62 / $132.09 / $247.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.01 / $226.28 / $244.65