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Montana rates for HCPCS 28289

Hallux Rigidus W/Cheilectomy 1st Mp Jt W/O Implt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,284.99 / $5,768.30 / $12,970.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.77 / $714.68 / $4,680.00
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
$735.07 / $808.58 / $1,087.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.07 / $735.07 / $735.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.49 / $741.11 / $1,233.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.93 / $604.75 / $1,001.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.25 / $864.60 / $1,410.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.13 / $1,181.43 / $1,394.57