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Montana rates for HCPCS 25609

Optx Dstl Radl I-Artic Fx/Epiphysl Sep 3 Frag

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,976.58 / $9,684.53 / $18,828.72
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
$1,679.41 / $1,679.41 / $1,679.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.74 / $1,146.40 / $1,894.34