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Montana rates for HCPCS 25680

Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.64 / $752.51 / $2,765.19
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
$860.73 / $860.73 / $860.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.85 / $778.13 / $860.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.54 / $534.41 / $831.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.23 / $817.79 / $1,112.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.46 / $846.15 / $957.66