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Montana rates for HCPCS 35903

Excision of infected graft; extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,475.79 / $8,475.79 / $8,475.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.93 / $874.93 / $874.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.93 / $1,062.09 / $1,114.47