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Montana rates for HCPCS 25624

Closed treatment of carpal scaphoid (navicular) fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $575.44 / $1,230.27
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
$724.44 / $724.44 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $645.65 / $794.33
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $812.83 / $912.01
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $812.83 / $912.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $602.56 / $912.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $676.08 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $912.01