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Montana rates for HCPCS 28636

Prq Skel Fixj Metatarsophlngl Jt Dislc W/Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.13 / $280.22 / $1,052.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.54 / $357.54 / $357.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.04 / $334.23 / $564.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.96 / $277.85 / $396.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.28 / $409.06 / $617.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.31 / $502.87 / $574.71