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Montana rates for HCPCS 25676

Open treatment of distal radioulnar dislocation, acute or chronic

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.74 / $1,013.74 / $1,013.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.90 / $690.12 / $1,013.74