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Montana rates for HCPCS C1821

Interspinous process distraction device (implantable)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $3,981.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,981.07 / $6,760.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $79.43 / $85.11