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Montana rates for HCPCS 20955

Bone Graft Microvascular Anastomosis Fibula

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,601.42 / $3,437.49 / $12,891.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,838.34 / $3,838.34 / $3,838.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,130.17 / $3,838.34 / $4,231.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,893.46 / $2,603.51 / $3,838.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,354.11 / $3,838.34 / $5,093.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,451.17 / $4,117.42 / $4,543.35