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Montana rates for HCPCS 64734

Transection or avulsion of; infraorbital nerve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.51 / $676.04 / $2,565.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.76 / $830.76 / $830.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.15 / $830.76 / $853.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.93 / $513.66 / $779.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.54 / $823.36 / $1,071.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.98 / $643.98 / $3,905.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.40 / $784.09 / $913.30