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Montana rates for HCPCS 27175

Tx Slp Femoral Epiphysis Trcj W/O Reduction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.43 / $934.71 / $3,485.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.75 / $1,064.75 / $1,064.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.30 / $1,064.75 / $1,120.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.84 / $725.78 / $1,064.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.50 / $1,064.75 / $1,388.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.27 / $1,096.67 / $1,231.34