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Montana rates for HCPCS 26415

Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,071.52 / $1,348.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,479.11 / $1,659.59
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,479.11 / $1,659.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,023.29 / $1,584.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,096.48 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,318.26 / $1,584.89