go back

Montana rates for HCPCS 28114

Ostc Compl All Metar Heads W/Prtl Prox Phalangc

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,330.80 / $1,330.80 / $1,330.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.53 / $909.60 / $1,436.21