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Montana rates for HCPCS 29867

Arthroscopy Knee Osteochondral Allograft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.79 / $1,787.31 / $6,678.53
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
$2,030.64 / $2,030.64 / $2,030.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,030.64 / $2,030.64 / $2,030.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.17 / $2,030.64 / $2,153.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.78 / $1,382.94 / $2,030.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.07 / $2,030.64 / $2,653.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.38 / $2,067.52 / $2,362.88