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Montana rates for HCPCS 25085

Capsulotomy Wrist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.94 / $422.94 / $738.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.55 / $724.55 / $724.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.55 / $724.55 / $724.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.05 / $724.55 / $753.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.35 / $494.11 / $724.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.84 / $721.45 / $936.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.88 / $733.02 / $827.52