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Montana rates for HCPCS 64856

Suture of major peripheral nerve, arm or leg, except sciatic; including transposition

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.46 / $1,355.64 / $5,290.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,593.17 / $1,593.17 / $1,593.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,593.17 / $1,593.17 / $1,593.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.21 / $1,593.17 / $1,699.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.24 / $1,087.96 / $1,593.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.24 / $1,593.17 / $2,095.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,490.73 / $1,693.02 / $2,396.86