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Montana rates for HCPCS 25605

Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.15 / $1,095.30 / $3,039.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.95 / $578.16 / $2,715.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.50 / $831.82 / $881.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.82 / $831.82 / $831.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.02 / $748.64 / $906.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.50 / $565.82 / $835.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.04 / $827.13 / $1,137.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.59 / $903.65 / $1,002.24