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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
$251.19 / $380.19 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $407.38 / $501.19
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $524.81 / $575.44
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $524.81 / $575.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $389.05 / $575.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $426.58 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $467.74 / $575.44