go back

Montana rates for HCPCS 64896

Nerve Graft Mlt Strands Hand/Foot > 4 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.91 / $1,912.27 / $7,455.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,254.10 / $2,254.10 / $2,254.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.09 / $2,254.10 / $2,733.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.33 / $1,533.59 / $2,254.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.11 / $2,254.10 / $2,958.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.98 / $2,401.78 / $2,650.23