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Montana rates for HCPCS 51960

Enterocystoplasty, including intestinal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.94 / $1,741.81 / $7,283.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,163.67 / $2,163.67 / $2,163.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,582.88 / $2,163.67 / $2,319.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.32 / $2,592.85 / $2,656.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.26 / $1,961.10 / $2,828.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,034.39 / $2,359.98 / $3,763.82