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Montana rates for HCPCS 64893

Nerve Graft 1 Strand Arm/Leg >4 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.56 / $1,502.38 / $5,843.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.42 / $1,771.42 / $1,771.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.21 / $1,771.42 / $1,903.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.31 / $1,204.93 / $1,771.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.05 / $1,771.42 / $2,321.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.88 / $1,842.47 / $2,074.23