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Montana rates for HCPCS 48547

Duodenal exclusion with gastrojejunostomy for pancreatic injury

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,490.47 / $1,752.30 / $9,237.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,821.44 / $2,821.44 / $2,821.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.20 / $2,817.79 / $5,102.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.94 / $2,359.02 / $3,227.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,771.26 / $2,884.72 / $4,806.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.34 / $2,218.34 / $2,218.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,460.91 / $3,000.31 / $4,502.96