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Montana rates for HCPCS 25405

Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,647.86 / $1,647.86 / $1,647.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.90 / $1,124.60 / $1,647.86