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Montana rates for HCPCS 28405

Closed Tx Calcaneal Fracture W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.25 / $360.83 / $1,857.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.40 / $660.40 / $660.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.12 / $594.36 / $664.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.60 / $443.62 / $660.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.91 / $595.58 / $915.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.13 / $632.24 / $733.93