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Montana rates for HCPCS 25608

Optx Dstl Radl I-Artic Fx/Epiphysl Sep 2 Frag

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,220.80 / $12,220.80 / $17,424.48
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
$1,326.59 / $1,326.59 / $1,326.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.87 / $904.57 / $1,485.74