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Montana rates for HCPCS 16000

Initial Tx 1st Degree Burn Local Tx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.81 / $489.81 / $489.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.78 / $61.82 / $129.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.78 / $71.51 / $126.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.51 / $71.51 / $71.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.78 / $76.81 / $126.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.58 / $70.73 / $125.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.50 / $87.04 / $142.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.23 / $123.31 / $136.34