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Montana rates for HCPCS 28575

Closed Tx Talotarsal Joint Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.66 / $401.56 / $1,765.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.19 / $609.61 / $618.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.19 / $554.19 / $554.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.08 / $525.59 / $618.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.70 / $379.09 / $554.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.76 / $549.84 / $767.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.22 / $585.19 / $674.36