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Montana rates for HCPCS 25420

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.11 / $1,630.86 / $6,091.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.87 / $1,851.87 / $1,851.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.38 / $1,851.87 / $1,962.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.40 / $1,260.05 / $1,851.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.28 / $1,851.87 / $2,424.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,633.02 / $1,921.47 / $2,157.42