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Montana rates for HCPCS 28450

Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $251.19 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $281.84 / $346.74
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $363.08 / $398.11
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $363.08 / $398.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $269.15 / $426.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $288.40 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $331.13 / $398.11