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Montana rates for HCPCS 22630

Arthrodesis Posterior Interbody 1 Ntrspc Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,112.71 / $30,112.71 / $44,505.14
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
$2,491.77 / $2,491.77 / $2,491.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.91 / $1,692.50 / $2,491.77