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Montana rates for HCPCS 27690

Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,181.93 / $4,181.93 / $4,181.93
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
$1,016.90 / $1,016.90 / $1,016.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.42 / $694.95 / $1,016.90