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Montana rates for HCPCS 43496

Free jejunum transfer with microvascular anastomosis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,648.14 / $2,093.57 / $3,646.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,306.23 / $3,306.23 / $3,306.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,047.74 / $3,306.23 / $6,235.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.02 / $1,929.92 / $4,185.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.80 / $2,865.75 / $3,935.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,964.38 / $3,578.20 / $4,377.47