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Montana rates for HCPCS 64772

Transection or avulsion of other spinal nerve, extradural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.90 / $1,116.90 / $1,116.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.18 / $890.18 / $890.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.34 / $596.76 / $890.18