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Montana rates for HCPCS 64553

Percutaneous implantation of neurostimulator electrode array; cranial nerve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $1,096.48 / $6,309.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $562.34 / $5,128.61
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $812.83 / $6,760.83
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $812.83 / $6,760.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $371.54 / $5,370.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $645.65 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $602.56 / $3,630.78