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Montana rates for HCPCS 20962

Bone Grf W/Mvasc Anast Oth/Thn Iliac Crest/Metar

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,405.65 / $2,828.21 / $13,884.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,213.24 / $4,213.24 / $4,213.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,900.03 / $3,397.72 / $4,213.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,086.57 / $2,869.03 / $4,213.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,545.62 / $3,967.24 / $5,508.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,321.75 / $4,229.49 / $4,873.91