go back

Montana rates for HCPCS 63295

Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $630.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $478.63 / $660.69