go back

Montana rates for HCPCS 31755

Tracheoplasty; tracheopharyngeal fistulization, each stage

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,511.89 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,754.23 / $2,884.03
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,019.95 / $3,630.78
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,019.95 / $3,630.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,630.27 / $3,019.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,819.70 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,884.03 / $4,265.80