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Montana rates for HCPCS 15952

Excision, trochanteric pressure ulcer, with skin flap closure;

Facilitymedian $1,585 · 10th–90th $1,318–$1,8620%50%10th90th$1,585Professionalmedian $1,514 · 10th–90th $891–$2,9510%10%20%10th90th$1,514$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,288.25 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,445.44 / $1,513.56
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,584.89 / $1,862.09
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,584.89 / $1,862.09
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,000.00 / $1,584.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $954.99 / $1,737.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,071.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,479.11 / $1,698.24