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Montana rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.56 / $398.56 / $398.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.74 / $269.14 / $457.30