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Montana rates for HCPCS 28740

Arthrodesis, midtarsal or tarsometatarsal, single joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,376.90 / $2,376.90 / $22,443.46
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
$980.62 / $980.62 / $980.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.22 / $694.93 / $1,165.43