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Montana rates for HCPCS 27415

Osteochondral allograft, knee, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,401.00 / $9,401.00 / $9,401.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.97 / $1,460.59 / $42,894.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,176.81 / $2,176.81 / $2,176.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,176.81 / $2,176.81 / $2,176.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.48 / $2,176.81 / $2,314.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.05 / $1,482.32 / $2,176.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.35 / $2,176.81 / $2,846.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,864.48 / $2,261.17 / $2,538.87