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Montana rates for HCPCS 28805

Amputation, foot; transmetatarsal

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
$1,113.11 / $1,113.11 / $1,113.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.79 / $687.24 / $1,125.60