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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
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.59 / $949.59 / $949.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.22 / $611.12 / $949.59