go back

Montana rates for HCPCS 64862

Suture of; lumbar plexus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.05 / $1,839.72 / $7,167.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,167.35 / $2,167.35 / $2,167.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.98 / $1,928.17 / $2,167.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.74 / $1,475.01 / $2,167.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.38 / $2,037.14 / $2,954.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,924.74 / $2,348.21 / $2,963.39