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Montana rates for HCPCS 27884

Amputation, leg, through tibia and fibula; secondary closure or scar revision

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
$912.01 / $912.01 / $912.01
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,000.00 / $1,174.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $831.76 / $1,258.93