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Montana rates for HCPCS L8642

Hallux implant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.85 / $1,199.54 / $1,199.54
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
$302.83 / $385.00 / $385.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.83 / $385.00 / $385.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.99 / $366.67 / $385.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.97 / $302.83 / $385.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.16 / $256.16 / $269.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.66 / $170.01 / $261.98