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Montana rates for HCPCS 39541

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.97 / $4,840.06 / $4,840.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.93 / $1,465.93 / $1,465.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,465.93 / $1,465.93 / $1,465.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.10 / $1,465.93 / $1,596.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.25 / $1,634.75 / $1,727.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.21 / $1,354.96 / $1,954.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.51 / $1,612.47 / $2,567.80