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Montana rates for HCPCS 45800

Closure of rectovesical fistula;

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.10 / $1,171.64 / $2,070.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,005.93 / $2,005.93 / $2,005.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.48 / $2,005.93 / $3,371.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,221.03 / $1,625.00 / $2,201.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.71 / $2,052.19 / $3,419.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.64 / $2,061.44 / $2,770.63