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Montana rates for HCPCS 28645

Open Tx Metatarsophalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.75 / $590.85 / $951.05
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
$776.61 / $854.27 / $1,032.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.61 / $776.61 / $776.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.05 / $730.82 / $1,100.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.06 / $528.08 / $855.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.86 / $877.77 / $1,301.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.71 / $1,060.08 / $1,211.52