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Montana rates for HCPCS 50100

Trnsxj/Repositioning Aberrant Renal Vessels Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.22 / $5,576.50 / $5,576.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,710.95 / $1,710.95 / $1,710.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.58 / $1,710.95 / $1,815.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.45 / $1,839.31 / $1,847.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.52 / $1,569.95 / $2,264.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.09 / $1,847.95 / $2,992.37