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Montana rates for HCPCS 25425

Repair Defect W/Autograft Radius/Ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.72 / $1,351.68 / $5,038.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,534.28 / $1,534.28 / $1,534.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.09 / $1,534.28 / $1,625.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.46 / $1,044.26 / $1,573.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.12 / $1,534.28 / $2,008.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.35 / $1,586.87 / $1,781.75