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Montana rates for HCPCS 63064

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,834.59 / $2,834.59 / $2,834.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,385.60 / $1,905.20 / $2,834.59