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Montana rates for HCPCS 20696

Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,845.03 / $1,845.03 / $1,845.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.22 / $1,251.56 / $1,980.36