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Montana rates for HCPCS 51792

Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $295.12 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $346.74 / $1,096.48
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $467.74 / $489.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $575.44 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $389.05 / $512.86