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Montana rates for HCPCS 27695

Repair, primary, disrupted ligament, ankle; collateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,030.95 / $11,414.38 / $11,414.38
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
$777.66 / $777.66 / $777.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.24 / $529.71 / $777.66