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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
$1,023.29 / $1,023.29 / $1,023.29
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,096.48 / $1,288.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $891.25 / $1,318.26