go back

Montana rates for HCPCS 64786

Excision Neuroma Sciatic Nerve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.80 / $1,017.02 / $5,177.16
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
$1,590.55 / $1,590.55 / $1,590.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.07 / $1,590.55 / $1,821.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.82 / $1,079.13 / $1,590.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.09 / $1,590.55 / $2,165.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.73 / $1,701.71 / $1,870.08