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Montana rates for HCPCS 64680

Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.86 / $251.86 / $251.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.35 / $251.86 / $426.88