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Montana rates for HCPCS 25391

Osteoplasty Radius/Ulna Lengthening W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.07 / $1,063.69 / $5,208.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.76 / $1,584.76 / $1,584.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.06 / $1,584.76 / $1,671.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.01 / $1,079.39 / $1,584.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.53 / $1,584.76 / $2,074.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.27 / $1,633.05 / $1,842.56