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Montana rates for HCPCS 37788

Penile revascularization, artery, with or without vein graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.64 / $6,646.11 / $6,646.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,971.75 / $1,971.75 / $1,971.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.79 / $1,971.75 / $1,971.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,971.75 / $2,526.55 / $2,620.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.07 / $1,690.21 / $2,581.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.43 / $2,264.23 / $3,432.66