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Montana rates for HCPCS 29904

Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body

Facilitymedian $1,096 · 10th–90th $851–$1,3180%20%10th90th$1,096Professionalmedian $891 · 10th–90th $617–$1,6220%10%10th90th$891$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $891.25 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $831.76 / $1,071.52
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,122.02 / $1,318.26
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,122.02 / $1,318.26
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $912.01 / $1,412.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $870.96 / $1,318.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,047.13 / $1,258.93