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Montana rates for HCPCS 28545

Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $354.81 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $489.78 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $398.11 / $489.78
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $501.19 / $575.44
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $501.19 / $575.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $371.54 / $588.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $426.58 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $446.68 / $549.54