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Montana rates for HCPCS 29892

Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)

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
$1,020.58 / $1,020.58 / $1,020.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.71 / $695.35 / $1,025.10