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Montana rates for HCPCS 47715

Excision of choledochal cyst

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.26 / $1,300.49 / $6,884.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,101.10 / $2,101.10 / $2,101.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.54 / $2,101.10 / $3,774.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,294.80 / $1,706.91 / $2,385.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.59 / $2,147.63 / $3,578.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.41 / $2,207.36 / $2,804.88