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Montana rates for HCPCS 28515

Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $173.78 / $398.11
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
$234.42 / $234.42 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $218.78 / $269.15
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $269.15 / $309.03
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $269.15 / $309.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $204.17 / $323.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $223.87 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $245.47 / $309.03