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Montana rates for HCPCS 15272

App Skn Sub Grft T/A/L Area/100sq Cm Ea Adl 25sc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.46 / $23.35 / $90.79
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
$22.35 / $26.29 / $33.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.29 / $26.29 / $26.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.94 / $29.90 / $44.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.50 / $23.58 / $37.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.94 / $31.36 / $46.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.81 / $44.25 / $51.20