go back

Montana rates for HCPCS 28705

Arthrodesis Pantalar

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,930.74 / $1,930.74 / $1,930.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.70 / $1,312.72 / $1,950.04