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Montana rates for HCPCS 62287

Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visualization, with discography and/or epidural injection(s) at the treated level(s), when performed, single or multiple levels, lumbar

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.02 / $786.81 / $3,071.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.17 / $951.17 / $951.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.83 / $951.17 / $960.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.88 / $635.79 / $951.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.50 / $914.48 / $1,187.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.72 / $955.32 / $1,072.63