go back

Montana rates for HCPCS 22103

Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; each additional segment (List separately in addition to code for primary procedure)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $234.42 / $251.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $208.93 / $309.03