go back

Montana rates for HCPCS 28102

Exc/Curtg Cst/B9 Tum Talus/Clcns W/Iliac/Agrft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.82 / $862.32 / $3,193.72
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
$833.52 / $980.62 / $980.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.62 / $980.62 / $980.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.41 / $980.62 / $1,017.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.60 / $656.95 / $980.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.41 / $980.62 / $1,275.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.81 / $769.81 / $14,287.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.67 / $982.24 / $1,122.55