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Montana rates for HCPCS 20969

Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $4,265.80
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $4,677.35 / $5,011.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,168.69 / $6,165.95