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Montana rates for HCPCS 28225

Tenolysis Extensor Foot Single Tendon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.28 / $375.30 / $1,404.16
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
$422.74 / $465.02 / $652.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.74 / $422.74 / $422.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.02 / $422.74 / $685.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.16 / $345.19 / $524.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.22 / $495.36 / $828.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.12 / $503.12 / $6,489.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.91 / $674.80 / $780.77