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Montana rates for HCPCS 53085

Drainage of perineal urinary extravasation; complicated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.32 / $3,424.75 / $3,424.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.58 / $1,020.58 / $1,020.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.97 / $1,020.58 / $1,083.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.13 / $1,166.09 / $1,219.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.29 / $923.04 / $1,331.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.94 / $1,123.80 / $1,772.30