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Montana rates for HCPCS 25000

Incision, extensor tendon sheath, wrist (eg, de Quervains disease)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,095.98 / $3,095.98 / $3,095.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.52 / $687.35 / $4,125.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.54 / $1,010.59 / $1,010.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.54 / $561.54 / $561.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.94 / $559.29 / $561.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.83 / $383.41 / $561.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.89 / $555.38 / $779.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.50 / $555.16 / $623.35