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Montana rates for HCPCS 53080

Drainage of perineal urinary extravasation; uncomplicated (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.51 / $2,219.59 / $2,219.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.66 / $665.66 / $665.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.29 / $665.66 / $711.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.20 / $798.20 / $817.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.20 / $598.86 / $863.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.28 / $726.61 / $1,152.54