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Montana rates for HCPCS 64681

Dstrj Nulyt W/Worad Mntr Suprior Hypogstr Plexus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.62 / $399.45 / $1,694.57
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
$342.82 / $342.82 / $342.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.97 / $385.87 / $712.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.86 / $342.82 / $558.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.39 / $497.36 / $897.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.79 / $870.48 / $1,021.68