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Montana rates for HCPCS 26352

Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.66 / $1,217.33 / $4,328.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,328.17 / $1,328.17 / $1,328.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.27 / $1,328.17 / $1,332.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.98 / $893.72 / $1,328.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.84 / $1,328.17 / $1,767.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.04 / $1,310.23 / $1,492.48