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Montana rates for HCPCS 64461

Pvb Thoracic Single Injection Site W/Img Gid

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.22 / $137.19 / $700.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.46 / $121.46 / $121.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.09 / $121.46 / $211.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.69 / $102.64 / $128.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.24 / $160.44 / $257.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.26 / $223.65 / $270.07