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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
$1,348.96 / $1,348.96 / $1,348.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,479.11 / $1,621.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,148.15 / $1,479.11