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Montana rates for HCPCS 28322

Rpr Non/Malunion Metarsal W/Wo Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,835.01 / $4,835.01 / $4,835.01
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
$921.73 / $921.73 / $921.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.22 / $697.51 / $1,061.93