go back

Montana rates for HCPCS 49062

Drg Xtraperitoneal Lymphocele Periton Cavity Opn

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.35 / $752.30 / $3,970.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.80 / $1,218.80 / $1,462.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,218.80 / $1,218.80 / $1,218.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.15 / $1,218.80 / $2,076.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.11 / $987.98 / $1,356.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.50 / $1,238.00 / $2,062.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.85 / $1,260.81 / $1,615.38