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Montana rates for HCPCS 28113

Ostectomy Complete 5th Metatarsal Head

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.36 / $551.62 / $2,197.78
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
$679.86 / $747.85 / $923.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.86 / $679.86 / $679.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.04 / $667.97 / $999.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.39 / $489.09 / $784.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.01 / $784.81 / $1,164.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.18 / $965.58 / $1,126.61