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Montana rates for HCPCS D4270

Pedicle Soft Tissue Graft Procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.06 / $280.06 / $280.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.04 / $604.04 / $604.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.47 / $420.76 / $606.90