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Montana rates for HCPCS 28825

Amputation, toe; interphalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $436.52 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $302.00 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $389.05 / $741.31
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $501.19 / $933.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $501.19 / $933.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $524.81 / $891.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $371.54 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $676.08 / $933.25