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Montana rates for HCPCS 22102

Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; lumbar

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.27 / $1,228.27 / $1,228.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.14 / $823.82 / $1,228.27