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Montana rates for HCPCS 25500

Closed treatment of radial shaft fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.28 / $243.47 / $417.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.42 / $426.42 / $471.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.42 / $426.42 / $426.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.16 / $383.78 / $459.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.42 / $275.63 / $426.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.29 / $417.34 / $587.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.07 / $446.89 / $510.73