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Montana rates for HCPCS 27556

Open Tx Knee Dislocation W/O Ligamentous Repair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.95 / $1,225.26 / $4,581.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.69 / $1,389.69 / $1,389.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.69 / $1,389.69 / $1,389.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.11 / $1,389.69 / $1,474.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.82 / $944.38 / $1,389.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.39 / $1,389.69 / $1,822.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.33 / $1,421.27 / $1,608.57