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Montana rates for HCPCS 25335

Centralization of wrist on ulna (eg, radial club hand)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.21 / $1,324.36 / $4,936.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,504.31 / $1,504.31 / $1,504.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.42 / $1,504.31 / $1,581.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.26 / $1,024.73 / $1,504.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.68 / $1,504.31 / $1,968.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.54 / $1,499.29 / $1,727.73