go back

Montana rates for HCPCS 28090

Exc Lesion Tendon Sheath/Capsule W/Synvct Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,910.61 / $3,910.61 / $4,611.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.17 / $434.39 / $3,155.40
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
$492.15 / $541.36 / $736.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.15 / $492.15 / $492.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.45 / $492.15 / $792.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.26 / $388.99 / $621.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.34 / $571.15 / $926.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.55 / $768.36 / $896.94