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Montana rates for HCPCS 37790

Penile venous occlusive procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.21 / $2,564.15 / $2,564.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.51 / $764.51 / $764.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.48 / $764.51 / $764.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.51 / $880.10 / $912.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.37 / $650.79 / $994.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.54 / $841.81 / $1,325.51