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Montana rates for HCPCS 15787

Abrasion; each additional 4 lesions or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $92.43 / $218.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.96 / $29.90 / $80.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.96 / $31.73 / $58.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.35 / $70.14 / $78.70