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Montana rates for HCPCS 64520

Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $190.55 / $562.34
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$204.17 / $204.17 / $204.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $134.90 / $331.13
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $309.03 / $416.87
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $309.03 / $416.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $218.78 / $354.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $165.96 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $199.53 / $380.19