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Montana rates for HCPCS 25431

Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary fixation), each bone

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.59 / $840.49 / $4,129.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,259.82 / $1,259.82 / $1,259.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.76 / $1,259.82 / $1,306.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.44 / $858.61 / $1,259.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.61 / $1,259.82 / $1,641.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.19 / $1,304.96 / $1,457.28