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Montana rates for HCPCS 25355

Osteotomy, radius; middle or proximal third

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.20 / $1,076.81 / $4,007.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.06 / $1,224.06 / $1,224.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.91 / $1,224.06 / $1,285.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.38 / $833.77 / $1,224.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.58 / $1,224.06 / $1,596.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.14 / $1,280.64 / $1,424.93