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Montana rates for HCPCS 38115

Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,034.32 / $2,034.32 / $2,034.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.46 / $1,586.90 / $2,292.17