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Montana rates for HCPCS 28114

Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg, Clayton type procedure)

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