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Montana rates for HCPCS 27455

Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus [bowleg] or genu valgus [knock-knee]); before epiphyseal closure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.60 / $1,345.76 / $4,982.74
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
$1,529.03 / $1,529.03 / $1,529.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.03 / $1,529.03 / $1,529.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.37 / $1,529.03 / $1,583.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.13 / $1,039.68 / $1,529.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.18 / $1,529.03 / $2,004.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.67 / $1,539.99 / $2,364.98