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Montana rates for HCPCS 64714

Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,318.26 / $1,513.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $954.99 / $1,380.38