go back

Montana rates for HCPCS 15277

Sub Grft F/S/N/H/F/G/M/D >= 100scm 1st 100sq Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.22 / $290.08 / $1,801.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.55 / $347.55 / $347.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.42 / $388.65 / $537.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.26 / $329.43 / $527.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.42 / $418.15 / $657.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.09 / $567.82 / $626.55