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Montana rates for HCPCS 64868

Anastomosis; facial-hypoglossal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,348.96 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,380.38 / $1,698.24
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,737.80 / $1,862.09
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,737.80 / $1,862.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,479.11 / $2,187.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,380.38 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,659.59 / $1,905.46