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Montana rates for HCPCS 20902

Bone graft, any donor area; major or large

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $478.63 / $588.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $478.63 / $912.01