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Montana rates for HCPCS 28810

Amputation, metatarsal, with toe, single

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.57 / $408.47 / $770.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.87 / $669.87 / $669.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.87 / $669.87 / $669.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.93 / $669.87 / $726.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.18 / $453.99 / $669.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.67 / $669.87 / $877.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.37 / $713.07 / $791.68