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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
$465.03 / $607.12 / $3,209.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.77 / $983.77 / $983.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.96 / $969.03 / $1,699.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.54 / $735.13 / $1,044.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.00 / $1,005.07 / $1,674.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.18 / $1,004.64 / $1,294.90