go back

Montana rates for HCPCS 64605

Dstrj Neurolytic Trigeminal Nrv 2/3 Div Branch

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.82 / $634.98 / $1,832.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.33 / $679.33 / $679.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.23 / $611.40 / $1,291.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.09 / $538.77 / $952.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.59 / $756.33 / $1,346.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.00 / $1,015.74 / $1,200.64