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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
$4,265.29 / $4,265.29 / $4,265.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.75 / $2,888.53 / $4,265.29