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Montana rates for HCPCS 25126

Exc/Curtg Cyst/Tumor Radius/Ulna W/Allograft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.58 / $640.57 / $3,140.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.37 / $965.37 / $965.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.09 / $965.37 / $1,003.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.34 / $657.72 / $965.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.39 / $965.37 / $1,253.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.50 / $982.67 / $1,369.50