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Montana rates for HCPCS 25622

Closed treatment of carpal scaphoid (navicular) fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.43 / $276.00 / $445.09
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
$469.01 / $469.01 / $508.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.01 / $469.01 / $469.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.18 / $422.11 / $508.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.37 / $314.30 / $469.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.56 / $461.02 / $648.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.71 / $490.55 / $560.63