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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
$1,122.02 / $1,122.02 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $977.24 / $1,174.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $812.83 / $1,122.02