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Montana rates for HCPCS 45113

Prctect Prtl W/Mucosec Ileoanal Anast Rsvr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,650.09 / $1,860.63 / $9,858.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,909.78 / $2,909.78 / $2,909.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.60 / $2,909.78 / $5,290.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,792.04 / $2,611.19 / $3,574.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,883.63 / $2,955.36 / $4,924.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,593.76 / $3,198.39 / $3,912.84