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Montana rates for HCPCS 25800

Arthrodesis, wrist; complete, without bone graft (includes radiocarpal and/or intercarpal and/or carpometacarpal joints)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,168.84 / $1,168.84 / $1,168.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.38 / $798.02 / $1,168.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$920.34 / $920.34 / $14,287.46