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Montana rates for HCPCS 69745

Sutr Nrv Itprl W/Wo Grf/Dcmprn Medial Geniculate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.58 / $6,484.36 / $6,484.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,958.08 / $1,958.08 / $1,958.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.51 / $1,958.08 / $2,082.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.36 / $2,156.05 / $2,335.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.33 / $1,793.18 / $2,586.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,691.66 / $2,115.60 / $3,450.24