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Montana rates for HCPCS 28605

Closed treatment of tarsometatarsal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.05 / $491.66 / $1,781.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.51 / $549.46 / $559.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.51 / $499.51 / $499.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.65 / $475.98 / $555.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.11 / $342.22 / $499.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.31 / $496.46 / $689.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.34 / $536.48 / $613.12