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Montana rates for HCPCS 61120

Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.50 / $3,775.79 / $3,775.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,210.92 / $1,210.92 / $1,210.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.10 / $1,210.92 / $1,288.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.58 / $1,240.20 / $1,345.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.99 / $1,086.09 / $1,566.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.89 / $939.89 / $939.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.44 / $1,248.16 / $2,105.29