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Montana rates for HCPCS 15952

Exc Trochanteric Pr Ulcer W/Skin Flap Closure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.22 / $4,803.66 / $4,803.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.16 / $1,450.16 / $1,450.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.29 / $1,450.16 / $1,520.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.12 / $988.47 / $2,032.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.01 / $1,450.16 / $1,778.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.50 / $1,525.98 / $1,683.84