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Montana rates for HCPCS 28615

Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed

Insurance Carrier
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
$1,321.86 / $1,321.86 / $1,321.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.65 / $815.81 / $1,321.86