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Montana rates for HCPCS 25290

Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.57 / $704.57 / $704.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.06 / $481.34 / $881.71