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Montana rates for HCPCS 28540

Cltx Tarsal Dislc Oth/Thn Talotarsal W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.13 / $202.71 / $936.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.51 / $285.51 / $285.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.58 / $270.39 / $321.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.71 / $196.88 / $285.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.98 / $285.51 / $404.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.79 / $322.56 / $356.48