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Montana rates for HCPCS 64858

Suture of sciatic nerve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.76 / $1,576.01 / $6,133.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.18 / $1,858.18 / $1,858.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.98 / $1,858.18 / $1,984.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.15 / $1,263.83 / $1,858.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.09 / $1,858.18 / $2,436.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.11 / $1,917.20 / $2,156.82