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Montana rates for HCPCS 25392

Osteoplasty Radius & Ulna Shortening

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.99 / $1,419.89 / $5,300.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,612.10 / $1,612.10 / $1,612.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.76 / $1,612.10 / $1,684.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.68 / $1,098.19 / $1,612.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.03 / $1,612.10 / $2,109.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.94 / $1,648.67 / $1,857.67