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Montana rates for HCPCS 25107

Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex

Insurance Carrier
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
$994.81 / $994.81 / $994.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.50 / $681.31 / $994.81