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Montana rates for HCPCS 45126

Pelvic Exenteration Colorectal Malignancy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,435.77 / $2,746.11 / $14,426.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,290.00 / $4,290.00 / $4,290.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,656.30 / $4,290.00 / $7,886.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,627.86 / $3,870.12 / $5,265.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,711.61 / $4,355.66 / $7,258.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,914.26 / $4,692.21 / $6,370.27