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Montana rates for HCPCS 28820

Amputation, toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.56 / $408.18 / $2,023.71
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
$278.67 / $306.54 / $467.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.67 / $278.67 / $278.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.87 / $428.15 / $952.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.69 / $278.67 / $715.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.61 / $407.79 / $777.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.46 / $902.15 / $1,021.04