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Montana rates for HCPCS 46753

Graft (Thiersch operation) for rectal incontinence and/or prolapse

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $676.08 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $794.33 / $1,862.09
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,071.52 / $1,288.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,071.52 / $1,288.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $812.83 / $1,445.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $977.24 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,258.93