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Montana rates for HCPCS 48552

Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $257.04 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $323.59 / $691.83
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $446.68
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $446.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $331.13 / $575.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $371.54 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $389.05 / $478.63