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Montana rates for HCPCS 28220

Tenolysis, flexor, foot; single tendon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $457.09 / $977.24
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
$489.78 / $489.78 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $457.09 / $707.95
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $741.31 / $812.83
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $741.31 / $812.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $537.03 / $794.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $501.19 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $575.44 / $831.76