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Montana rates for HCPCS 26863

Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft), each additional joint (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.62 / $232.80 / $347.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.44 / $355.44 / $355.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.44 / $355.44 / $355.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.03 / $355.44 / $384.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.30 / $241.03 / $355.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.42 / $355.44 / $468.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.52 / $370.71 / $419.57