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Montana rates for HCPCS 25630

Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); without manipulation, each bone

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $407.38 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $501.19
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
$478.63 / $524.81 / $575.44
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $524.81 / $575.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $389.05 / $588.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $416.87 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $478.63 / $575.44