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Montana rates for HCPCS 25300

Tenodesis at wrist; flexors of fingers

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.45 / $974.53 / $3,601.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.85 / $1,107.85 / $1,107.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.36 / $1,107.85 / $1,147.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.86 / $756.06 / $1,107.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.09 / $1,107.85 / $1,441.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.05 / $870.05 / $6,489.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.37 / $1,123.47 / $1,261.44