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Montana rates for HCPCS 20936

Autograft Spine Surgery Local From Same Incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,565.44 / $2,565.44 / $3,745.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.84 / $118.14 / $474.00
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
$196.65 / $196.65 / $196.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.63 / $196.65 / $214.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.12 / $191.66 / $235.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.37 / $196.65 / $258.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.92 / $209.19 / $232.97