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Montana rates for HCPCS 28505

Open Tx Fracture Great Toe/Phalanx/Phalanges

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
$791.33 / $791.33 / $791.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.27 / $538.00 / $899.47