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Montana rates for HCPCS 64911

Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.00 / $1,387.26 / $5,368.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.04 / $1,621.04 / $1,621.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.13 / $1,621.04 / $1,700.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.12 / $1,424.22 / $1,875.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.09 / $1,621.04 / $2,125.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.25 / $1,698.24 / $2,425.56