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Montana rates for HCPCS 25520

Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $1,479.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $758.58 / $933.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $977.24 / $1,096.48
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $977.24 / $1,096.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $724.44 / $1,096.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $794.33 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $891.25 / $1,096.48