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Montana rates for HCPCS 20838

Replantation, foot, complete amputation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,965.78 / $3,868.01 / $14,515.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,386.22 / $4,386.22 / $4,386.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.13 / $3,620.04 / $4,386.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,168.42 / $2,914.04 / $4,374.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,664.99 / $4,121.62 / $5,766.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,860.24 / $4,354.58 / $5,110.96