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Montana rates for HCPCS 28202

Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft)

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.39 / $680.39 / $680.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.88 / $536.54 / $854.82