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Montana rates for HCPCS 57305

Clsr Rectovaginal Fistula Abdominal Approach

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.01 / $1,549.01 / $1,549.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.34 / $1,591.85 / $1,690.67