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Montana rates for HCPCS 25025

Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle and/or nerve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.97 / $1,658.58 / $6,284.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,947.56 / $1,947.56 / $1,947.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,947.56 / $1,947.56 / $1,947.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.09 / $1,947.56 / $2,062.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.17 / $1,262.42 / $1,947.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.93 / $1,886.66 / $2,527.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,613.64 / $1,981.89 / $2,225.28