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Montana rates for HCPCS 28755

Arthrodesis Great Toe Interphalangeal Joint

Insurance Carrier
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
$533.69 / $533.69 / $533.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.94 / $422.04 / $677.81