go back

Montana rates for HCPCS 25415

Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.01 / $1,357.87 / $5,062.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.12 / $1,541.12 / $1,541.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.12 / $1,541.12 / $1,541.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.68 / $1,541.12 / $1,623.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.82 / $1,048.86 / $1,541.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.00 / $1,541.12 / $2,016.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.87 / $1,613.56 / $1,846.03