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Montana rates for HCPCS 22857

Total Disc Arthrp Ant Single Interspace Lumbar

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.94 / $1,514.89 / $2,457.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,756.24 / $2,756.24 / $2,756.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,756.24 / $2,756.24 / $2,756.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.32 / $2,756.24 / $3,000.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,364.18 / $1,875.75 / $3,082.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,637.95 / $2,756.24 / $3,801.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,411.10 / $2,982.95 / $3,385.80