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Montana rates for HCPCS 28002

I&D Below Fascia Foot 1 Bursal Space

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.66 / $435.18 / $630.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.31 / $242.34 / $386.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.31 / $220.31 / $220.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.26 / $386.99 / $740.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.81 / $220.31 / $699.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.65 / $340.52 / $633.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.76 / $717.12 / $816.63