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Montana rates for HCPCS 25145

Sequestrectomy Forearm &/Wrist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.57 / $738.70 / $2,730.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.75 / $840.75 / $840.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.15 / $840.75 / $871.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.89 / $573.22 / $840.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.01 / $840.07 / $1,090.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.40 / $844.74 / $957.44