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Montana rates for HCPCS 28665

Closed treatment of interphalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.20 / $156.77 / $686.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.91 / $201.91 / $242.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.09 / $201.91 / $258.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.96 / $215.96 / $306.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.28 / $251.38 / $282.25