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Montana rates for HCPCS 49600

Rpr Small Omphalocele W/Primary Closure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.70 / $718.82 / $3,794.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.22 / $1,166.22 / $1,166.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.30 / $1,166.22 / $1,967.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.21 / $989.10 / $1,320.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.47 / $1,188.40 / $1,980.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.38 / $1,223.68 / $1,752.33