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Montana rates for HCPCS 15933

Excision, sacral pressure ulcer, with primary suture; with ostectomy

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,513.56 / $1,778.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $954.99 / $1,412.54