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Montana rates for HCPCS 62190

Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.81 / $4,668.80 / $4,668.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.63 / $1,500.63 / $1,500.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.68 / $1,500.63 / $1,500.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.34 / $1,545.05 / $1,669.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.71 / $1,288.68 / $1,942.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.96 / $1,547.44 / $2,610.35