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Montana rates for HCPCS 63744

Replacement, irrigation or revision of lumbosubarachnoid shunt

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,102.59 / $1,102.59 / $1,102.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.21 / $709.01 / $1,102.59