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Montana rates for HCPCS 28576

Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.92 / $546.79 / $2,040.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.86 / $628.86 / $628.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.99 / $628.86 / $663.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.87 / $396.50 / $628.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.00 / $617.91 / $805.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.58 / $634.98 / $739.20