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Montana rates for HCPCS 63057

Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately in addition to code for primary procedure)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.82 / $505.82 / $505.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.73 / $343.38 / $505.82