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Montana rates for HCPCS 49606

Rpr Lg Omphalocele/Gastroschisis Rmvl Prosth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.21 / $1,113.80 / $5,845.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,792.98 / $1,792.98 / $1,792.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.63 / $1,792.98 / $3,170.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.68 / $1,478.46 / $2,046.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.58 / $1,830.04 / $3,049.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,555.70 / $1,904.64 / $2,389.14