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Montana rates for HCPCS 28360

Reconstruction, cleft foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,479.11 / $2,884.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,380.38 / $1,737.80
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,905.46 / $2,238.72
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,905.46 / $2,238.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,445.44 / $2,137.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,380.38 / $2,290.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,737.80 / $2,089.30