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Montana rates for HCPCS 28495

Cltx Fx Grt Toe Phlx/Phlg W/Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.84 / $163.80 / $309.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.68 / $218.63 / $300.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.36 / $250.89 / $357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.05 / $285.60 / $326.39