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Montana rates for HCPCS 28264

Capsulotomy Midtarsal

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.22 / $1,064.22 / $1,064.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.22 / $850.29 / $1,225.90