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Montana rates for HCPCS 25492

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.04 / $1,272.67 / $4,738.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,446.48 / $1,446.48 / $1,446.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.44 / $1,446.48 / $1,516.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.10 / $984.64 / $1,446.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.13 / $1,446.48 / $1,889.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.68 / $1,505.45 / $1,673.59