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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
$1,220.91 / $1,220.91 / $1,220.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.89 / $756.11 / $1,220.91