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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
$229.43 / $278.06 / $1,500.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.49 / $468.49 / $504.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.49 / $468.49 / $468.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.00 / $421.64 / $505.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.59 / $313.99 / $468.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.62 / $461.02 / $648.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.42 / $491.13 / $572.21