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Montana rates for HCPCS 51940

Closure, exstrophy of bladder

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,064.28 / $8,623.17 / $8,623.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,558.54 / $2,558.54 / $2,558.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,883.69 / $2,558.54 / $2,742.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,264.58 / $3,001.05 / $3,085.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.27 / $2,322.65 / $3,350.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,354.67 / $2,844.01 / $4,454.80