go back

Montana rates for HCPCS 25272

Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.19 / $792.80 / $2,931.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.75 / $901.75 / $901.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.71 / $901.75 / $939.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.58 / $614.04 / $901.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.22 / $901.75 / $1,171.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.48 / $917.13 / $1,044.10