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Montana rates for HCPCS 20957

Bone Graft Microvascular Anast Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,925.31 / $3,814.67 / $14,325.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,329.96 / $4,329.96 / $4,329.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,255.41 / $3,532.16 / $4,329.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,140.53 / $2,943.23 / $4,329.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,628.11 / $4,067.56 / $5,686.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,742.12 / $4,389.75 / $5,046.30