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Montana rates for HCPCS 64892

Nerve Graft 1 Strand Arm/Leg <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.36 / $1,409.49 / $5,479.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,662.58 / $1,662.58 / $1,662.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,662.05 / $1,662.05 / $1,662.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.27 / $1,662.05 / $1,769.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.85 / $1,130.04 / $1,662.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.41 / $1,662.05 / $2,177.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.27 / $1,730.71 / $1,943.67