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Montana rates for HCPCS 25575

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,160.20 / $10,160.20 / $10,799.60
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
$1,444.90 / $1,444.90 / $1,444.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.45 / $956.89 / $1,444.90