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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
$848.64 / $848.64 / $848.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.34 / $579.34 / $848.64