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Montana rates for HCPCS 27428

Ligamentous Reconstruction Knee Intra-Articular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,728.65 / $8,728.65 / $10,223.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.31 / $1,779.31 / $1,779.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.64 / $1,212.26 / $1,779.31