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Montana rates for HCPCS 28570

Closed treatment of talotarsal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.35 / $339.10 / $1,227.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.42 / $324.42 / $324.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.21 / $275.76 / $381.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.03 / $202.54 / $297.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.18 / $322.41 / $452.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.75 / $367.92 / $565.02