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Montana rates for HCPCS 25805

Arthrodesis, wrist; with sliding graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,202.26 / $2,137.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,148.15 / $1,412.54
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,479.11 / $1,737.80
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,479.11 / $1,737.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,230.27 / $1,862.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,148.15 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,380.38 / $1,584.89