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Montana rates for HCPCS 51900

Clsr Vesicovaginal Fistul Aabdl Approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.64 / $4,342.46 / $4,342.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,293.99 / $1,293.99 / $1,293.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.85 / $1,293.99 / $1,390.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.74 / $1,514.50 / $1,564.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.64 / $1,169.57 / $1,687.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.30 / $1,428.00 / $2,248.67