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Montana rates for HCPCS 27409

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.02 / $1,356.27 / $5,056.04
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
$1,539.54 / $1,539.54 / $1,539.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.54 / $1,539.54 / $1,539.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.21 / $1,539.54 / $1,620.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.30 / $1,048.17 / $1,539.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.39 / $1,539.54 / $2,013.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.70 / $1,592.00 / $1,787.51