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Montana rates for HCPCS 47701

Portoeneterostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.39 / $1,659.16 / $8,970.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,736.26 / $2,736.26 / $2,736.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,634.88 / $2,736.25 / $4,790.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,683.93 / $2,320.10 / $3,180.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.15 / $2,801.68 / $4,668.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,369.44 / $2,941.75 / $3,660.92