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Montana rates for HCPCS 44128

Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.78 / $241.34 / $1,245.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.63 / $379.63 / $379.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.52 / $379.63 / $702.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.69 / $354.59 / $454.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.36 / $388.22 / $646.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.17 / $412.38 / $666.00