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Montana rates for HCPCS 39501

Repair, laceration of diaphragm, any approach

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.42 / $1,343.42 / $1,343.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.10 / $1,474.85 / $1,555.95