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Montana rates for HCPCS 53400

Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,256.66 / $1,256.66 / $1,256.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.90 / $1,491.10 / $1,532.55