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Montana rates for HCPCS 25927

Transmetacarpal Amputation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.48 / $741.89 / $4,415.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,376.54 / $1,376.54 / $1,376.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.07 / $1,354.90 / $1,376.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.36 / $928.62 / $1,376.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.34 / $1,354.90 / $1,827.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.77 / $1,338.06 / $1,535.16