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Montana rates for HCPCS 25077

Rad Resect Tumor Soft Tiss Forearm&/Wrist <3 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.72 / $1,238.36 / $4,631.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,364.98 / $1,364.98 / $1,364.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.26 / $1,364.98 / $1,482.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.56 / $927.52 / $1,364.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.95 / $1,364.98 / $1,854.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.55 / $1,462.05 / $1,641.60