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Montana rates for HCPCS 64712

Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,023.29 / $1,202.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $794.33 / $1,148.15