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Montana rates for HCPCS 28003

Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.50 / $574.88 / $790.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.39 / $405.39 / $594.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.39 / $405.39 / $405.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.58 / $594.67 / $1,180.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.21 / $362.22 / $975.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.41 / $552.27 / $1,022.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.46 / $1,130.08 / $1,279.01