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Montana rates for HCPCS 28171

Radical resection of tumor; tarsal (except talus or calcaneus)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.09 / $1,545.18 / $5,796.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.12 / $1,755.12 / $1,755.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.17 / $1,421.83 / $1,755.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.06 / $929.90 / $1,554.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.63 / $1,652.33 / $2,296.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.68 / $1,766.05 / $2,317.67