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Montana rates for HCPCS 46740

Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,742.44 / $2,112.02 / $11,148.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,427.69 / $3,427.69 / $3,427.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,971.62 / $3,427.69 / $6,057.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,060.62 / $2,643.64 / $3,827.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,125.86 / $3,492.94 / $5,820.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,949.71 / $3,530.88 / $4,393.20