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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
$1,174.90 / $1,412.54 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,737.80 / $3,801.89
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,238.72 / $2,511.89
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,238.72 / $2,511.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,778.28 / $3,162.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $2,041.74 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,089.30 / $2,691.53