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Montana rates for HCPCS 63740

Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,288.25 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,380.38 / $1,659.59
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,737.80 / $1,862.09
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,737.80 / $1,862.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,318.26 / $1,819.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,348.96 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,584.89 / $1,862.09