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Montana rates for HCPCS 25565

Closed treatment of radial and ulnar shaft fractures; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $831.76 / $954.99
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
$758.58 / $758.58 / $758.58
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $870.96 / $977.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $707.95 / $1,023.29