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Montana rates for HCPCS 15260

Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.12 / $867.88 / $1,582.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.90 / $1,332.90 / $1,583.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,332.90 / $1,332.90 / $1,332.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.07 / $1,429.39 / $1,669.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.15 / $991.73 / $1,919.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.98 / $1,345.26 / $1,876.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.00 / $1,681.49 / $1,806.32