go back

Montana rates for HCPCS 64858

Suture of sciatic nerve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,584.89 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,621.81 / $1,995.26
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,454.71
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,454.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,698.24 / $2,511.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,621.81 / $2,398.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,905.46 / $2,187.76