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Montana rates for HCPCS 46748

Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $4,570.88 / $10,715.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $5,495.41 / $12,302.69
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $7,244.36 / $7,762.47
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $7,244.36 / $7,762.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $5,495.41 / $9,772.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $6,606.93 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $6,606.93 / $8,709.64