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Montana rates for HCPCS 28360

Reconstruction Cleft Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.30 / $1,541.70 / $5,723.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.34 / $1,749.34 / $1,749.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.98 / $1,371.19 / $1,749.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.19 / $1,155.56 / $1,749.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.90 / $1,652.87 / $2,284.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.03 / $1,749.65 / $1,998.37