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Montana rates for HCPCS 61863

Strtctc Impltj Nstim Eltrd W/O Record 1st Array

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,419.21 / $2,419.21 / $2,419.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.46 / $2,546.05 / $2,731.77