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Montana rates for HCPCS 28400

Closed treatment of calcaneal fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.50 / $229.93 / $1,113.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.95 / $375.95 / $404.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.95 / $375.95 / $375.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.40 / $338.36 / $414.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.37 / $250.75 / $375.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.07 / $369.35 / $518.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.85 / $392.96 / $449.37