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Montana rates for HCPCS 25450

Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.24 / $660.04 / $3,237.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.24 / $993.24 / $993.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.24 / $993.24 / $993.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.60 / $893.34 / $993.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.54 / $677.24 / $993.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.86 / $940.10 / $1,291.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.58 / $996.23 / $1,127.52