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Montana rates for HCPCS 63303

Vcrpec Les 1 Seg Xdrl Lmbr/Sac Transprtl/Rpr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,017.53 / $2,973.72 / $11,576.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,702.68 / $3,702.68 / $3,702.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,894.49 / $3,702.68 / $4,009.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.92 / $2,323.26 / $3,702.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,225.03 / $3,702.68 / $4,814.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,144.77 / $3,829.16 / $4,829.52