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Montana rates for HCPCS 28291

Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $4,570.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,174.90 / $1,288.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $724.44 / $1,318.26