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Montana rates for HCPCS 64510

Injection, anesthetic agent; stellate ganglion (cervical sympathetic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.94 / $275.94 / $275.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.52 / $122.70 / $1,046.70
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
$120.93 / $120.93 / $231.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.93 / $120.93 / $120.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.20 / $123.38 / $219.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.19 / $111.72 / $201.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.18 / $157.50 / $277.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.02 / $221.19 / $250.34