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Montana rates for HCPCS 50500

Nephrorrhaphy Suture Kidney Wound/Injury

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.48 / $2,428.63 / $6,414.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,034.32 / $2,034.32 / $2,034.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.48 / $2,034.32 / $2,034.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.55 / $2,217.80 / $2,330.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.21 / $1,799.01 / $2,594.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,740.12 / $2,154.61 / $3,443.77