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Montana rates for HCPCS 64861

Suture of; brachial plexus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,862.09 / $3,981.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,905.46 / $2,511.89
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,630.27 / $3,235.94
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,630.27 / $3,235.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,862.09 / $2,884.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $2,089.30 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,398.83 / $2,884.03