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Montana rates for HCPCS 64876

Suture Nerve Req Shortening Bone Extremity

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.15 / $260.08 / $1,020.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.49 / $305.49 / $305.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.47 / $284.60 / $305.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.72 / $207.25 / $305.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.66 / $285.45 / $403.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.36 / $319.76 / $361.90