go back

Montana rates for HCPCS 25490

Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,122.02 / $1,148.15
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,258.93 / $1,479.11
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,258.93 / $1,479.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,047.13 / $1,698.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $977.24 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,174.90 / $1,348.96