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Montana rates for HCPCS 25628

Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,148.73 / $9,148.73 / $9,148.73
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
$1,152.03 / $1,152.03 / $1,152.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.15 / $775.70 / $1,152.03