go back

Montana rates for HCPCS 15941

Exc Ischial Pr Ulc W/Prim Sutr W/Ostc Ischiect

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.86 / $4,804.60 / $4,804.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,469.09 / $1,469.09 / $1,469.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.12 / $1,469.09 / $1,515.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.13 / $1,021.54 / $2,019.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.12 / $1,469.09 / $1,818.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.68 / $1,532.94 / $1,675.13