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Montana rates for HCPCS 64872

Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $144.54 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $162.18 / $199.53
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $199.53 / $208.93
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $199.53 / $208.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $169.82 / $251.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $162.18 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $194.98 / $223.87