go back

Montana rates for HCPCS 64718

Neuroplasty and/or transposition; ulnar nerve at elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,754.39 / $1,754.39 / $10,672.32
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,008.80 / $2,008.80 / $2,008.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.73 / $1,629.88 / $4,732.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.00 / $968.00 / $968.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.00 / $968.00 / $968.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.68 / $968.00 / $989.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.49 / $600.61 / $968.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.77 / $963.01 / $1,251.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.58 / $959.84 / $1,096.97