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Montana rates for HCPCS 28113

Ostectomy, complete excision; fifth metatarsal head

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $1,621.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $741.31 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $616.60 / $933.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $977.24 / $1,047.13
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $977.24 / $1,047.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $645.65 / $1,071.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $707.95 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $794.33 / $1,071.52