go back

Montana rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.44 / $257.13 / $940.03
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
$208.74 / $229.62 / $273.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.74 / $208.74 / $208.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.86 / $200.60 / $286.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.39 / $162.02 / $242.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.83 / $232.85 / $350.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.88 / $282.24 / $322.56