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Montana rates for HCPCS 26525

Capsulectomy/Capsulotomy Iphal Joint Each

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.29 / $1,096.29 / $1,096.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.82 / $735.37 / $1,096.29