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Montana rates for HCPCS 25830

Arthrd Dstl Rad/Uln Jt Sgmtl Rscj Ulna W/Wo Bone

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.88 / $1,454.17 / $5,186.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,641.55 / $1,641.55 / $1,641.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.80 / $1,591.77 / $1,641.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.32 / $1,107.32 / $1,641.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.76 / $1,591.77 / $2,176.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.57 / $1,575.83 / $2,031.12