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Montana rates for HCPCS 25520

Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.40 / $825.42 / $3,025.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$885.45 / $885.45 / $885.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.50 / $796.91 / $946.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.66 / $584.37 / $885.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.41 / $880.51 / $1,212.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.56 / $922.88 / $1,053.35