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Montana rates for HCPCS 28555

Open treatment of tarsal bone dislocation, includes internal fixation, when performed

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,479.11 / $1,548.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $977.24 / $1,513.56