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Montana rates for HCPCS 25690

Closed treatment of lunate dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.41 / $698.62 / $2,564.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.27 / $800.27 / $800.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.27 / $800.27 / $800.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.68 / $800.27 / $803.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.30 / $520.97 / $800.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.84 / $794.78 / $1,031.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.99 / $775.78 / $895.99