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Montana rates for HCPCS 20664

Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric patients, hydrocephalus, osteogenesis imperfecta)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.16 / $958.65 / $4,435.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,431.75 / $1,431.75 / $1,431.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.06 / $1,431.75 / $1,487.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.98 / $884.97 / $1,431.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.71 / $1,418.10 / $1,844.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.40 / $1,401.67 / $1,601.91