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Montana rates for HCPCS 25905

Amp Forearm Thru Radius & Ulna Open Circular

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.36 / $988.68 / $3,675.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.16 / $1,124.16 / $1,124.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.20 / $1,124.16 / $1,176.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.54 / $765.24 / $1,124.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.41 / $1,124.16 / $1,465.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.53 / $1,160.81 / $1,283.43