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Montana rates for HCPCS 49611

Repair of omphalocele (Gross type operation); second stage

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.49 / $597.32 / $3,154.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.20 / $972.20 / $972.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.69 / $905.59 / $1,702.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.60 / $863.99 / $1,014.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.84 / $988.35 / $1,646.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.15 / $982.81 / $1,240.41