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Montana rates for HCPCS 64620

Destruction by neurolytic agent, intercostal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $239.88 / $537.03
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
$281.84 / $281.84 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $275.42 / $338.84
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $346.74 / $380.19
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $346.74 / $380.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $269.15 / $446.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $281.84 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $309.03 / $398.11