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Montana rates for HCPCS 64907

Nerve pedicle transfer; second stage

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.99 / $1,741.32 / $6,782.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.62 / $2,050.62 / $2,050.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.47 / $2,050.62 / $2,484.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.38 / $1,394.78 / $2,050.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.50 / $2,050.62 / $2,786.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.12 / $2,185.44 / $2,719.72