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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
$1,096.48 / $1,288.25 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,412.54 / $1,737.80
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,905.46 / $2,344.23
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,905.46 / $2,344.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,202.26 / $1,737.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,412.54 / $2,290.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,737.80 / $2,089.30