go back

Montana rates for HCPCS 64553

Prq Impltj Neurostimulator Eltrd Cranial Nerve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.74 / $1,863.52 / $11,010.20
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
$722.45 / $722.45 / $722.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.41 / $354.44 / $5,491.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.21 / $355.42 / $3,612.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.60 / $1,001.83 / $5,476.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.52 / $3,219.99 / $4,714.99