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Montana rates for HCPCS 64415

Injection Aa&/Strd Brachial Plexus W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.43 / $117.51 / $1,091.70
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
$516.00 / $516.00 / $516.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.31 / $108.31 / $108.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.09 / $108.25 / $203.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.75 / $108.31 / $188.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.33 / $140.94 / $234.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.22 / $189.98 / $213.13