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Montana rates for HCPCS 0656T

Ant Lumbar/Tlmbr Vrt Body Tethrg <7vrt Seg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,289.79 / $2,430.10 / $2,430.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,539.69 / $3,539.69 / $3,539.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,539.69 / $3,539.69 / $3,539.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,354.01 / $1,354.01 / $3,539.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,539.69 / $3,539.69 / $4,720.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,998.59 / $3,700.40 / $4,210.78