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Montana rates for HCPCS 28288

Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,820.50 / $3,820.50 / $3,820.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.75 / $561.03 / $2,308.08
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
$694.58 / $764.04 / $954.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.58 / $694.58 / $694.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.94 / $673.45 / $1,013.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.54 / $493.49 / $785.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.42 / $804.51 / $1,207.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.87 / $983.91 / $1,152.34