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Montana rates for HCPCS 28297

Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,875.15 / $10,875.15 / $10,875.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.97 / $849.90 / $13,350.24
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
$956.43 / $1,052.07 / $1,612.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.43 / $956.43 / $956.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.61 / $950.89 / $1,612.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.13 / $855.14 / $1,141.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.74 / $1,224.11 / $1,949.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.82 / $1,665.39 / $1,919.14