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Montana rates for HCPCS 63053

Lam Facetec/Foramot Drg Arthrd Lmbr Ea Addl Sgm

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.70 / $360.70 / $360.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.36 / $189.99 / $360.70