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Montana rates for HCPCS 64417

Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $138.04 / $338.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $114.82 / $229.09
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $213.80 / $281.84
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $213.80 / $281.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $158.49 / $251.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $120.23 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $134.90 / $245.47