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Montana rates for HCPCS 25922

Disarticulation Thru Wrist Sec Closure/Scar Revj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.10 / $915.18 / $3,313.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.34 / $1,036.34 / $1,036.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.83 / $1,023.16 / $1,036.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.96 / $686.20 / $944.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.91 / $1,023.16 / $1,358.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.42 / $1,014.71 / $1,148.44