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Montana rates for HCPCS 45113

Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,137.96 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,570.40 / $5,495.41
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,235.94 / $3,548.13
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,235.94 / $3,548.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,630.27 / $4,786.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $2,951.21 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,090.30 / $3,801.89