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Montana rates for HCPCS 48540

Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.75 / $1,286.89 / $6,754.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,061.14 / $2,061.14 / $2,061.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.45 / $2,061.14 / $3,702.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.78 / $1,715.01 / $2,339.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.25 / $2,107.73 / $3,512.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.28 / $2,189.42 / $2,760.14