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Montana rates for HCPCS 28190

Removal Foreign Body Foot Subcutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.91 / $995.91 / $995.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.37 / $235.26 / $710.85
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
$210.32 / $322.68 / $379.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.32 / $210.32 / $210.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.66 / $224.07 / $430.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.91 / $199.24 / $326.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.11 / $270.19 / $494.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.69 / $407.12 / $479.82