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Montana rates for HCPCS 64405

Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.58 / $523.58 / $523.58
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,030.76 / $1,030.76 / $2,176.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.98 / $100.34 / $593.45
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$148.46 / $489.03 / $1,619.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.61 / $91.38 / $119.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.08 / $83.08 / $83.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.36 / $101.46 / $167.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.02 / $73.27 / $148.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $105.92 / $161.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.63 / $92.63 / $92.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.58 / $124.21 / $169.75