go back

Montana rates for HCPCS 25671

Prq Skeletal Fixj Distal Radioulnar Dislocation

Insurance Carrier
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
$865.47 / $865.47 / $865.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.34 / $576.28 / $865.47