go back

Montana rates for HCPCS 49014

Reexpl Pel Wnd W/Rmvl Preperitoneal Pel Packing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.70 / $1,878.01 / $1,878.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.63 / $593.63 / $593.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.87 / $593.63 / $593.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.25 / $366.56 / $593.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.58 / $546.92 / $788.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.00 / $651.62 / $1,039.69