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Montana rates for HCPCS 64561

Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,360.50 / $7,360.50 / $7,360.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.56 / $735.40 / $1,090.72
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$385.94 / $385.94 / $385.94
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
$476.37 / $476.37 / $1,156.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.37 / $476.37 / $476.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.87 / $527.16 / $1,388.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.82 / $614.28 / $1,599.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.35 / $746.63 / $1,526.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.34 / $1,277.10 / $1,645.45