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Montana rates for HCPCS 63053

Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s] [eg, spinal or lateral recess stenosis]), during posterior interbody arthrodesis, lumbar; each additional vertebral segment (List separately in addition to code for primary procedure)

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $389.05 / $398.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $263.03 / $467.74