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Montana rates for HCPCS 50540

Symphysiotomy Horseshoe Kdn W/Wo Plop Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.25 / $6,032.42 / $6,032.42
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
$1,324.86 / $1,792.98 / $1,917.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.39 / $2,115.10 / $2,172.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.43 / $1,623.81 / $2,342.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,722.76 / $1,987.80 / $3,118.18