go back

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
$3,090.30 / $3,090.30 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $478.63 / $3,388.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $616.60 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $501.19 / $562.34
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $602.56 / $691.83
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $602.56 / $691.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $489.78 / $741.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $457.09 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $549.54 / $645.65