go back

Montana rates for HCPCS 28496

Prq Skel Fixj Fx Grt Toe Phlx/Phlg W/Manj

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.25 / $443.25 / $443.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.70 / $381.33 / $543.62