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Montana rates for HCPCS 20957

Bone graft with microvascular anastomosis; metatarsal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,715.35 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,548.13 / $4,365.16
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $4,677.35 / $5,128.61
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,677.35 / $5,128.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,715.35 / $4,786.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $3,548.13 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $4,365.16 / $5,128.61