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Montana rates for HCPCS 27696

Repair, primary, disrupted ligament, ankle; both collateral ligaments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,405.81 / $9,405.81 / $9,405.81
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
$873.35 / $873.35 / $873.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.56 / $594.77 / $873.35