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Montana rates for HCPCS 64611

Chemodenervation of parotid and submandibular salivary glands, bilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $138.04 / $316.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $181.97 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $158.49 / $199.53
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $204.17 / $239.88
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $204.17 / $239.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $144.54 / $229.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $169.82 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $181.97 / $223.87