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Montana rates for HCPCS 64450

Injection Aa&/Strd Other Peripheral Nerve/Branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.00 / $427.50 / $1,019.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.32 / $97.82 / $675.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$492.00 / $492.00 / $502.50
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
$101.01 / $118.83 / $118.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.73 / $65.73 / $65.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.87 / $87.82 / $132.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.04 / $65.73 / $148.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.83 / $89.40 / $149.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.19 / $128.63 / $167.41