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Montana rates for HCPCS 15922

Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.57 / $4,170.55 / $4,170.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.97 / $1,262.97 / $1,262.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.24 / $1,262.97 / $1,314.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.34 / $861.00 / $1,744.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.78 / $1,262.97 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.59 / $1,322.39 / $1,445.06