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Montana rates for HCPCS 63707

Repair of dural/cerebrospinal fluid leak, not requiring laminectomy

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,513.56
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,621.81 / $1,778.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,288.25 / $1,819.70