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Montana rates for HCPCS 28304

Osteotomy, tarsal bones, other than calcaneus or talus;

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.94 / $976.94 / $976.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.94 / $713.79 / $1,098.22