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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
$296.45 / $296.45 / $296.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.23 / $178.91 / $455.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.35 / $129.35 / $294.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.35 / $129.35 / $129.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.87 / $225.25 / $317.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.09 / $190.34 / $414.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.66 / $222.83 / $422.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.60 / $328.28 / $375.68