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Montana rates for HCPCS 25574

Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna

Insurance Carrier
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
$1,084.20 / $1,084.20 / $1,084.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.54 / $676.32 / $1,084.20