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Montana rates for HCPCS 45136

Exc Ileoanal Rsvr W/Ileostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.08 / $1,869.30 / $9,441.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,787.79 / $2,787.79 / $2,787.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,729.55 / $2,787.79 / $5,034.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,637.10 / $2,370.17 / $3,278.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,802.39 / $2,828.64 / $4,713.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,435.53 / $3,005.55 / $3,740.32