go back

Montana rates for HCPCS 22558

Arthrd Ant Interbody Min Dsc Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,582.04 / $11,582.04 / $11,582.04
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
$2,421.31 / $2,421.31 / $2,421.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.45 / $1,642.37 / $2,421.31