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Montana rates for HCPCS 53425

Urtp 2-Stg Rcnstj/Rpr Prostat/Urethra 2nd Stage

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.49 / $4,928.21 / $4,928.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,465.93 / $1,465.93 / $1,465.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.11 / $1,465.93 / $1,563.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.94 / $1,757.60 / $1,797.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.42 / $1,328.27 / $1,915.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.04 / $1,623.00 / $2,550.21