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Montana rates for HCPCS 64868

Anastomosis; facial-hypoglossal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.10 / $1,357.53 / $5,251.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,572.14 / $1,572.14 / $1,572.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.10 / $1,572.14 / $1,704.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.44 / $1,059.35 / $1,572.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.56 / $1,572.14 / $2,072.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.97 / $1,662.28 / $1,935.78