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Montana rates for HCPCS 64874

Suture Nerve Req Xtnsv Mobil/Trpos Nerve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.78 / $161.61 / $902.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.74 / $269.74 / $269.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.52 / $269.74 / $277.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.18 / $183.12 / $269.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.99 / $269.74 / $357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.35 / $283.29 / $328.02