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Montana rates for HCPCS 25251

Removal of wrist prosthesis; complicated, including total wrist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.07 / $1,012.63 / $3,770.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.55 / $1,152.55 / $1,152.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.55 / $1,152.55 / $1,152.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.79 / $1,152.55 / $1,182.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.74 / $784.77 / $1,152.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.58 / $1,152.55 / $1,500.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.45 / $904.45 / $904.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.08 / $1,163.11 / $1,358.94