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Montana rates for HCPCS 69725

Dcmprn Nrv Intratemporal Medial Geniculate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,939.13 / $9,780.21 / $9,780.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,952.89 / $2,952.89 / $2,952.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,083.04 / $2,952.89 / $3,155.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,446.34 / $3,270.80 / $3,529.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.60 / $2,701.18 / $3,896.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,566.31 / $3,202.80 / $5,197.56