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Montana rates for HCPCS 26862

Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)

Insurance Carrier
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
$1,230.27 / $1,230.27 / $1,230.27
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,318.26 / $1,513.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $1,584.89