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Montana rates for HCPCS 28470

Closed Tx Metatarsal Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.61 / $196.40 / $901.00
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$161.75 / $237.53 / $877.16
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
$335.46 / $335.46 / $355.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.46 / $335.46 / $335.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.38 / $301.91 / $365.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.23 / $220.08 / $335.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.60 / $329.99 / $455.81
Providence
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$329.41 / $332.64 / $467.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.66 / $350.56 / $396.76