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Montana rates for HCPCS 15935

Exc Sacral Pr Ulcer W/Skn Flap Clsr W/Ostectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.98 / $6,059.76 / $6,059.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,826.10 / $1,826.10 / $1,826.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.54 / $1,826.10 / $1,836.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.91 / $1,244.50 / $2,449.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.69 / $1,826.10 / $2,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,665.76 / $1,959.99 / $2,135.23