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Montana rates for HCPCS 53515

Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.21 / $4,191.37 / $4,191.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.25 / $1,248.25 / $1,248.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.38 / $1,248.25 / $1,328.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.74 / $1,480.05 / $1,518.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.78 / $1,129.29 / $1,628.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.28 / $1,378.80 / $2,170.04