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Montana rates for HCPCS 64600

Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $467.74 / $1,202.26
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
$380.19 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $363.08 / $676.08
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $645.65 / $870.96
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $645.65 / $870.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $436.52 / $776.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $446.68 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $446.68 / $794.33