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Montana rates for HCPCS 28515

Cltx Fx Phlx/Phlg Oth/Thn Grt Toe W/Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.94 / $147.46 / $281.18
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
$233.98 / $233.98 / $268.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.98 / $233.98 / $233.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.30 / $227.94 / $271.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.84 / $159.28 / $233.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.44 / $235.37 / $324.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.49 / $261.52 / $298.88