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Montana rates for HCPCS 25491

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.75 / $789.52 / $3,870.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.58 / $1,183.58 / $1,183.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.66 / $1,183.58 / $1,240.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.48 / $806.41 / $1,183.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.67 / $1,183.58 / $1,542.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.04 / $1,215.24 / $1,402.49