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Montana rates for HCPCS 64633

Dstr Nrolytc Agnt Parverteb Fct Sngl Crvcl/Thora

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.40 / $2,104.19 / $4,232.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.03 / $425.72 / $2,623.38
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$315.20 / $1,781.15 / $2,780.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.81 / $301.81 / $691.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.81 / $301.81 / $301.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.54 / $378.69 / $691.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.13 / $301.81 / $416.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.56 / $444.13 / $838.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.17 / $692.52 / $810.67