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Montana rates for HCPCS 63170

Lam W/Myelotomy Cervical/Thoracic/Thoracolumbar

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.94 / $2,059.80 / $7,989.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,560.65 / $2,560.65 / $2,560.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.20 / $2,560.65 / $2,754.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.49 / $1,627.12 / $2,560.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.01 / $2,558.50 / $3,321.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,988.44 / $1,988.44 / $1,988.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,343.44 / $2,573.19 / $2,940.80