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Montana rates for HCPCS 64857

Suture of major peripheral nerve, arm or leg, except sciatic; without transposition

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.30 / $7,413.30 / $7,413.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.34 / $1,042.78 / $5,515.45
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
$1,665.21 / $1,665.21 / $1,665.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,665.21 / $1,665.21 / $1,665.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.64 / $1,665.21 / $1,761.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.33 / $1,127.95 / $1,665.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.29 / $1,665.21 / $2,186.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.86 / $1,735.08 / $1,929.29