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Montana rates for HCPCS 63173

Lam W/Drg Intrmedulry Cyst/Syrinx Prtl/Pleural

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,762.27 / $2,227.32 / $8,647.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,771.49 / $2,771.49 / $2,771.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.09 / $2,771.49 / $2,985.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,363.99 / $1,803.28 / $2,771.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,661.50 / $2,769.33 / $3,595.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,150.69 / $2,150.69 / $2,150.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,340.12 / $2,838.02 / $3,186.55