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Montana rates for HCPCS 46742

Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,201.88 / $2,563.51 / $7,181.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,955.59 / $3,955.59 / $3,955.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,231.91 / $3,741.68 / $6,826.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.71 / $3,128.00 / $4,466.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,462.65 / $4,034.29 / $6,722.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,329.40 / $4,138.87 / $6,252.20