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Montana rates for HCPCS 29825

Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,502.67 / $3,502.67 / $3,502.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.50 / $937.50 / $937.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.18 / $639.62 / $937.50