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Montana rates for HCPCS 21230

Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft)

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.52 / $1,182.52 / $1,182.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.28 / $802.01 / $1,182.52