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Montana rates for HCPCS 95864

Ndl Emg 4 Xtr W/Wo Related Paraspinal Areas

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.81 / $240.85 / $367.79
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$162.47 / $162.47 / $193.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.31 / $328.42 / $962.52
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$162.47 / $162.47 / $193.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.30 / $364.91 / $558.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.26 / $394.40 / $480.75