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Montana rates for HCPCS 25246

Injection procedure for wrist arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $457.09 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $186.21 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $234.42 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $181.97 / $457.09
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $251.19 / $346.74
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $251.19 / $346.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $194.98 / $398.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $190.55 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $181.97 / $323.59