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Montana rates for HCPCS 51715

Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,771.00 / $3,394.35 / $6,805.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.90 / $304.72 / $569.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.27 / $311.27 / $583.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.27 / $311.27 / $311.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.27 / $335.81 / $583.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.10 / $533.65 / $556.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.99 / $393.26 / $604.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.66 / $567.25 / $1,030.44