go back

Montana rates for HCPCS 35903

Excision of infected graft; extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $977.24 / $1,174.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $912.01 / $1,071.52