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Montana rates for HCPCS 64865

Suture of facial nerve; infratemporal, with or without grafting

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,479.11 / $2,884.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,513.56 / $1,819.70
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,905.46 / $2,238.72
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,905.46 / $2,238.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,584.89 / $2,454.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,479.11 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,819.70 / $2,089.30