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Montana rates for HCPCS 27652

Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft)

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,174.90 / $1,380.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,071.52 / $1,380.38