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Montana rates for HCPCS 28103

Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.14 / $383.20 / $548.77
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
$614.66 / $614.66 / $614.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.66 / $614.66 / $614.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.63 / $614.66 / $654.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.54 / $418.74 / $667.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.47 / $614.15 / $797.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.28 / $651.91 / $724.48