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Montana rates for HCPCS 22804

Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,168.69 / $4,466.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,630.78 / $5,248.07