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Montana rates for HCPCS 64653

Chemodenervation Eccrine Glands Oth Area Per Day

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.60 / $105.75 / $516.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.27 / $81.50 / $165.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.40 / $87.58 / $160.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.28 / $110.76 / $199.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.85 / $156.24 / $182.16