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Montana rates for HCPCS 20816

Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), complete amputation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,186.40 / $2,851.17 / $10,717.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.77 / $3,235.77 / $3,235.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,767.59 / $3,235.77 / $3,521.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.90 / $2,199.86 / $3,295.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,963.97 / $3,235.77 / $4,249.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,547.55 / $2,547.55 / $2,547.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,904.96 / $3,403.47 / $3,813.11