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Montana rates for HCPCS 62361

Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $549.54 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $602.56 / $724.44
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $758.58 / $891.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $758.58 / $891.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $588.84 / $812.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $588.84 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $676.08 / $812.83