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Montana rates for HCPCS 28530

Closed Treatment Sesamoid Fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.20 / $107.12 / $539.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.15 / $166.15 / $190.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.10 / $161.79 / $192.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.70 / $166.15 / $231.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.11 / $184.81 / $218.46