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Montana rates for HCPCS 27400

Transfer Tendon/Muscle Hamstrings Femur

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.26 / $981.05 / $3,643.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.70 / $1,114.70 / $1,114.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.53 / $1,114.70 / $1,165.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.69 / $759.95 / $1,114.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.26 / $1,114.70 / $1,452.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.35 / $1,142.84 / $1,283.20