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Montana rates for HCPCS 20902

Bone Graft Any Donor Area Major/Large

Insurance Carrier
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
$432.21 / $432.21 / $432.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.50 / $292.19 / $600.88