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Montana rates for HCPCS 25449

Revision of arthroplasty, including removal of implant, wrist joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.50 / $1,449.64 / $5,421.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,642.07 / $1,642.07 / $1,642.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.07 / $1,642.07 / $1,642.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.53 / $1,642.07 / $1,720.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.04 / $1,119.31 / $1,642.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.85 / $1,642.07 / $2,146.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.89 / $1,702.59 / $1,911.68