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Montana rates for HCPCS 25024

Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable muscle and/or nerve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,096.48 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,071.52 / $1,288.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,348.96 / $1,621.81
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,348.96 / $1,621.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,096.48 / $1,584.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,071.52 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,288.25 / $1,479.11