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Montana rates for HCPCS 28420

Open Treatment Calcaneal Fracture W Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.41 / $1,824.31 / $6,736.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,061.14 / $2,061.14 / $2,061.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.42 / $2,061.14 / $2,109.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.05 / $1,399.82 / $2,061.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.33 / $2,061.14 / $2,705.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,743.69 / $2,051.19 / $2,374.39