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Montana rates for HCPCS 25805

Arthrodesis Wrist W/Sliding Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.64 / $1,191.36 / $4,432.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.94 / $1,353.94 / $1,353.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,353.94 / $1,353.94 / $1,353.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.71 / $1,353.94 / $1,416.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.41 / $921.81 / $1,353.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.51 / $1,353.94 / $1,766.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.15 / $1,393.65 / $1,564.80