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Montana rates for HCPCS 62258

Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.30 / $1,789.30 / $1,789.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.50 / $1,905.15 / $2,041.71