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Montana rates for HCPCS 39540

Repair, diaphragmatic hernia (other than neonatal), traumatic; acute

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,364.45 / $1,364.45 / $1,364.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.74 / $1,510.60 / $1,594.53