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Montana rates for HCPCS D7953

Bone Replacement Graft For Ridge Preservation - Per Site

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $398.11 / $562.34
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $1,000.00 / $1,047.13
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $1,000.00 / $1,047.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $407.38 / $660.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $85.11 / $1,023.29