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Montana rates for HCPCS 22114

Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; lumbar

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.99 / $1,533.83 / $5,677.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,830.31 / $1,830.31 / $1,830.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.78 / $1,673.25 / $1,830.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.45 / $1,129.31 / $1,812.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.22 / $1,700.93 / $2,362.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.01 / $1,776.49 / $2,047.16