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Montana rates for HCPCS 27407

Repair, primary, torn ligament and/or capsule, knee; cruciate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.52 / $1,120.91 / $4,165.37
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
$1,274.01 / $1,274.01 / $1,274.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,274.01 / $1,274.01 / $1,274.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.06 / $1,274.01 / $1,329.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631.69 / $868.57 / $1,274.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.99 / $1,274.01 / $1,661.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.57 / $1,285.20 / $1,468.80