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Montana rates for HCPCS 0164T

Rmvl Tot Disc Arthrp Ant Appr Lmbr Ea Ntrspc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.07 / $1,088.76 / $1,088.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.63 / $1,286.63 / $1,286.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.64 / $1,157.97 / $1,286.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.61 / $560.61 / $1,286.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.64 / $1,286.63 / $2,200.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.69 / $809.48 / $1,777.27