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Montana rates for HCPCS 28475

Closed treatment of metatarsal fracture; with manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.15 / $238.81 / $438.34
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
$372.27 / $409.49 / $422.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.27 / $372.27 / $372.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.40 / $335.04 / $427.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.54 / $262.06 / $372.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.86 / $372.27 / $515.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.06 / $420.09 / $471.68