go back

Montana rates for HCPCS 15261

Fth/Gft Free W/Dir Clsr N/E/E/L Ea Addl 20 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.85 / $722.35 / $1,115.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.37 / $211.37 / $322.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.37 / $211.37 / $211.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $234.55 / $354.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.79 / $197.40 / $358.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $252.37 / $387.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.58 / $352.64 / $383.36