go back

Montana rates for HCPCS 20956

Bone graft with microvascular anastomosis; iliac crest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,810.69 / $3,661.68 / $13,761.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,155.39 / $4,155.39 / $4,155.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,216.01 / $4,155.39 / $4,466.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,054.78 / $2,825.32 / $4,155.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,524.27 / $4,155.39 / $5,462.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,577.15 / $4,294.08 / $5,517.00