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Montana rates for HCPCS 47721

Cholecystoenterostomy W/Gastroenterostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.58 / $1,328.09 / $7,006.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,138.94 / $2,138.94 / $2,138.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.77 / $2,138.94 / $3,844.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.00 / $1,734.13 / $2,431.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.32 / $2,187.00 / $3,644.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.84 / $2,249.59 / $2,854.68