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Montana rates for HCPCS 22852

Removal Posterior Segmental Instrumentation

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
$1,134.68 / $1,134.68 / $1,134.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.22 / $771.68 / $1,134.68