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Montana rates for HCPCS 64569

Revision/Replmt Neurostimlator Eltrd Cranial Nrv

Insurance Carrier
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
$1,234.58 / $1,234.58 / $1,234.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.38 / $762.98 / $1,234.58