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Montana rates for HCPCS 46712

Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,627.00 / $2,181.14 / $11,505.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,487.11 / $3,487.11 / $3,487.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,005.93 / $3,365.12 / $5,969.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,147.98 / $3,051.89 / $3,710.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,173.06 / $3,577.59 / $5,961.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,925.45 / $3,575.53 / $4,692.35