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Montana rates for HCPCS 15953

Exc Trchntric Pr Ulc W/Skn Flap Clsr W/Ostectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.61 / $5,288.96 / $5,288.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,596.85 / $1,596.85 / $1,596.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.79 / $1,596.85 / $1,673.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.47 / $1,087.92 / $2,220.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.94 / $1,596.85 / $1,958.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.91 / $1,623.37 / $1,835.47