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Montana rates for HCPCS 28510

Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $151.36 / $295.12
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$147.91 / $147.91 / $218.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $165.96 / $204.17
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $213.80 / $239.88
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $213.80 / $239.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $165.96 / $245.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $169.82 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $194.98 / $234.42