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Montana rates for HCPCS 45805

Clsr Rectovesical Fistula W/Colostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.72 / $1,439.98 / $7,599.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,314.05 / $2,314.05 / $2,314.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.47 / $2,314.05 / $4,136.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.78 / $1,907.34 / $2,616.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,440.33 / $2,371.40 / $3,951.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,012.07 / $2,440.17 / $2,996.71