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Montana rates for HCPCS 27488

Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,903.92 / $1,903.92 / $1,903.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.49 / $1,295.92 / $1,903.92