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Montana rates for HCPCS 61253

Burr Hole/Trephine Infratentorial Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.54 / $4,993.89 / $4,993.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,598.96 / $1,598.96 / $1,598.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.43 / $1,598.96 / $1,598.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.16 / $1,554.05 / $1,598.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.88 / $1,436.97 / $2,072.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.41 / $1,660.55 / $2,785.16