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Montana rates for HCPCS 62280

Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.24 / $524.14 / $1,892.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.33 / $251.33 / $251.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.02 / $279.02 / $518.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.57 / $250.07 / $430.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.11 / $345.24 / $623.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.08 / $556.60 / $647.67