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Montana rates for HCPCS 53431

Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,449.95 / $6,067.68 / $6,067.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.44 / $1,802.44 / $1,802.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.99 / $1,802.44 / $1,928.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.05 / $2,154.10 / $2,205.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.25 / $1,632.55 / $2,354.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,432.81 / $1,432.81 / $10,167.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.14 / $1,999.21 / $3,134.83