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Montana rates for HCPCS 20900

Bone graft, any donor area; minor or small (eg, dowel or button)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $2,524.00 / $18,026.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.06 / $399.76 / $4,295.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.41 / $311.75 / $607.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.41 / $283.41 / $283.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.90 / $443.70 / $696.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.97 / $329.04 / $646.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.19 / $413.24 / $800.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.58 / $461.58 / $14,287.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.88 / $666.89 / $744.95