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Montana rates for HCPCS 28153

Resection, condyle(s), distal end of phalanx, each toe

Facilitymedian $575 · 10th–90th $447–$1,2300%20%10th90th$575Professionalmedian $447 · 10th–90th $269–$7940%10%20%10th90th$447$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $426.58 / $831.76
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $75,857.76 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $380.19 / $645.65
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $676.08 / $724.44
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $676.08 / $724.44
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $489.78 / $707.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $446.68 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $512.86 / $758.58