go back

Montana rates for HCPCS 25295

Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $912.01 / $1,096.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $794.33 / $1,230.27