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Montana rates for HCPCS 15934

Excision Sacral Pressure Ulcer W/Skin Flap Clsr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.10 / $4,932.59 / $4,932.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,557.42 / $1,557.42 / $1,557.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.08 / $1,557.42 / $1,575.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.26 / $1,060.50 / $2,044.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.62 / $1,519.47 / $1,840.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.53 / $1,583.98 / $1,747.84