go back

Montana rates for HCPCS 49611

Repair of omphalocele (Gross type operation); second stage

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $660.69 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $1,819.70
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,047.13 / $1,148.15
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,047.13 / $1,148.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $870.96 / $1,479.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $977.24 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,230.27