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Montana rates for HCPCS 28805

Amputation, foot; transmetatarsal

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,230.27 / $1,513.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,071.52 / $1,584.89