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Montana rates for HCPCS 25393

Osteoplasty Radius&Ulna Lengthening W/Autograf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.09 / $1,578.68 / $5,898.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,792.98 / $1,792.98 / $1,792.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.82 / $1,792.98 / $1,882.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.21 / $1,219.91 / $1,792.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.02 / $1,792.98 / $2,347.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.55 / $1,828.40 / $2,089.60