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Montana rates for HCPCS 28130

Talectomy (astragalectomy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $870.96 / $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
$977.24 / $977.24 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $831.76 / $1,023.29
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,318.26
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,318.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $933.25 / $1,380.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $831.76 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,047.13 / $1,202.26