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Montana rates for HCPCS 69740

Sutr Nrv Itprl W/Wo Grf/Dcmprn Lat Geniculate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.38 / $6,081.63 / $6,081.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,837.15 / $1,837.15 / $1,837.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.16 / $1,837.15 / $1,958.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.68 / $2,024.10 / $2,190.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.93 / $1,681.56 / $2,425.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,720.68 / $2,051.58 / $3,235.63