go back

Montana rates for HCPCS 64520

Injection Anes Lmbr/Thrc Paravertbrl Sympathetic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,757.85 / $3,757.85 / $3,757.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.40 / $174.88 / $438.54
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
$133.55 / $133.55 / $363.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.55 / $133.55 / $133.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.47 / $136.00 / $327.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.91 / $133.55 / $276.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $224.83 / $437.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.31 / $334.96 / $385.99