go back

Montana rates for HCPCS 62284

Injection procedure for myelography and/or computed tomography, lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $190.55 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $208.93 / $436.52
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $213.80 / $338.84
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $213.80 / $338.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $213.80 / $446.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $223.87 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $213.80 / $354.81