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Montana rates for HCPCS 25250

Removal of wrist prosthesis; (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.84 / $756.81 / $2,796.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.21 / $860.21 / $860.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.96 / $860.21 / $886.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.70 / $586.72 / $860.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.63 / $860.21 / $1,117.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.50 / $869.75 / $981.11