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Montana rates for HCPCS 29904

Arthrs Subtalar Joint Remove Loose/Foreign Body

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.64 / $897.75 / $3,339.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.73 / $1,023.73 / $1,023.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.49 / $1,023.73 / $1,073.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.77 / $699.56 / $1,151.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.65 / $1,023.73 / $1,330.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.89 / $805.89 / $6,489.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.65 / $1,045.75 / $1,164.93