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Montana rates for HCPCS 45520

Perirectal injection of sclerosing solution for prolapse

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.53 / $138.88 / $850.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.30 / $122.26 / $332.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.10 / $162.16 / $412.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.81 / $244.75 / $321.20