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Montana rates for HCPCS 63055

Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,596.40 / $2,596.40 / $2,596.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.38 / $1,757.78 / $2,596.40