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Montana rates for HCPCS 25310

Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,005.65 / $2,005.65 / $2,005.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.69 / $779.68 / $1,178.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.85 / $896.85 / $6,489.22