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Montana rates for HCPCS 64721

Neuroplasty and/or transposition; median nerve at carpal tunnel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,630.78 / $4,677.35
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,760.83 / $6,760.83 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $691.83 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,047.13 / $1,412.54 / $5,888.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $602.56 / $724.44
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $776.25 / $851.14
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $776.25 / $851.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $588.84 / $851.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $630.96 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $707.95 / $831.76