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Montana rates for HCPCS 26553

Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,504.44 / $4,594.89 / $17,073.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,161.78 / $5,161.78 / $5,161.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,206.61 / $4,520.39 / $5,161.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,542.77 / $3,215.34 / $5,161.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,082.70 / $4,859.39 / $6,827.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,206.14 / $5,200.78 / $6,051.82