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Montana rates for HCPCS 22554

Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2

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
$2,015.92 / $2,015.92 / $2,015.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.55 / $1,367.51 / $2,015.92