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Montana rates for HCPCS 28715

Arthrodesis; triple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,507.84 / $9,507.84 / $9,507.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,492.75 / $1,492.75 / $1,492.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.10 / $1,019.02 / $1,492.75