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Montana rates for HCPCS 64517

Injection, anesthetic agent; superior hypogastric plexus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.93 / $199.03 / $662.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.70 / $197.70 / $197.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.22 / $204.09 / $307.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.22 / $161.01 / $243.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.29 / $234.54 / $364.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.00 / $306.32 / $346.69