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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
$203.26 / $231.55 / $1,207.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.53 / $367.53 / $367.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.93 / $367.53 / $675.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.97 / $328.04 / $432.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.93 / $376.90 / $628.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.85 / $399.62 / $497.32