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Montana rates for HCPCS 28112

Ostectomy Complete Other Metatarsal Head 2/3/4

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.56 / $426.89 / $789.01
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
$498.98 / $548.88 / $760.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.98 / $498.98 / $498.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.62 / $498.98 / $826.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.88 / $403.48 / $653.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.21 / $581.90 / $967.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.29 / $787.92 / $900.48