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Montana rates for HCPCS 28005

Incision Bone Cortex Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.22 / $607.44 / $2,528.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.95 / $905.95 / $905.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.95 / $905.95 / $905.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.46 / $905.95 / $970.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.71 / $616.98 / $912.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.74 / $905.95 / $1,180.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.01 / $962.22 / $1,054.64