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Montana rates for HCPCS 64640

Destruction by neurolytic agent; other peripheral nerve or branch

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $229.09 / $630.96
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$323.59 / $323.59 / $323.59
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
$186.21 / $186.21 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $181.97 / $354.81
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $275.42 / $436.52
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $275.42 / $436.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $263.03 / $407.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $204.17 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $234.42 / $436.52