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Montana rates for HCPCS 28446

Open osteochondral autograft, talus (includes obtaining graft[s])

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.75 / $1,304.42 / $6,391.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,944.41 / $1,944.41 / $1,944.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,944.41 / $1,944.41 / $1,944.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.13 / $1,944.41 / $2,060.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.64 / $1,323.63 / $2,218.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.95 / $1,944.41 / $2,542.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.98 / $2,014.38 / $2,302.73