go back

Montana rates for HCPCS 24900

Amputation, arm through humerus; with primary closure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.79 / $1,035.56 / $3,867.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.47 / $1,181.47 / $1,181.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.47 / $1,181.47 / $1,181.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.37 / $1,181.47 / $1,212.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.37 / $805.73 / $1,181.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.05 / $1,181.47 / $1,538.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.86 / $1,198.15 / $1,363.20