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Montana rates for HCPCS 64763

Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.71 / $686.16 / $2,655.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.25 / $820.25 / $820.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.03 / $820.25 / $854.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.70 / $557.83 / $820.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.48 / $820.25 / $1,080.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.50 / $823.49 / $942.45