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Montana rates for HCPCS 0274T

Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), single or multiple levels, unilateral or bilateral, cervical or thoracic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.58 / $1,065.73 / $1,065.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,469.61 / $1,469.61 / $1,469.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.17 / $1,322.65 / $1,469.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.08 / $593.08 / $1,469.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.17 / $1,469.61 / $2,049.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.21 / $1,607.17 / $1,773.44