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Montana rates for HCPCS 28208

Repair, tendon, extensor, foot; primary or secondary, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $501.19 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $562.34 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $457.09 / $758.58
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $758.58 / $870.96
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $758.58 / $870.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $512.86 / $831.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $524.81 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $602.56 / $870.96