go back

Montana rates for HCPCS 63042

Lamot Prtl Ffd Exc Disc Reexpl 1 Ntrspc Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,342.91 / $16,342.91 / $16,342.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,065.87 / $2,065.87 / $2,065.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.99 / $1,399.74 / $2,065.87