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Montana rates for HCPCS 53420

Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.86 / $4,430.46 / $4,430.46
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
$1,318.18 / $1,318.18 / $1,318.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.38 / $1,318.18 / $1,403.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.59 / $1,517.75 / $1,567.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.81 / $1,193.83 / $1,722.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.84 / $1,433.70 / $2,292.13