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Montana rates for HCPCS 26775

Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.70 / $504.44 / $1,838.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.11 / $583.11 / $649.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.11 / $583.11 / $583.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.87 / $524.79 / $640.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.89 / $397.22 / $583.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.53 / $574.42 / $807.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.52 / $618.24 / $717.41