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Montana rates for HCPCS 28130

Talectomy (astragalectomy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.71 / $874.16 / $3,338.49
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
$983.77 / $983.77 / $983.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.77 / $983.77 / $983.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.44 / $983.77 / $1,021.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.58 / $680.04 / $983.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.54 / $975.95 / $1,291.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.30 / $1,055.28 / $1,217.70