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Montana rates for HCPCS 64872

Suture Nerve Req Secondary/Delayed Suture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.00 / $116.60 / $175.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.82 / $179.82 / $179.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.63 / $179.82 / $199.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.05 / $122.44 / $181.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.99 / $179.82 / $245.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.63 / $193.22 / $216.95