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Montana rates for HCPCS 35870

Repair of graft-enteric fistula

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.89 / $6,284.21 / $6,284.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,923.38 / $1,923.38 / $1,923.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.42 / $1,923.38 / $1,923.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,923.38 / $2,439.44 / $2,650.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.04 / $1,676.00 / $2,559.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,880.84 / $2,242.54 / $5,173.07