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Montana rates for HCPCS 53520

Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.82 / $703.35 / $2,942.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.82 / $882.82 / $882.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.05 / $882.82 / $927.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.41 / $1,034.15 / $1,063.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.25 / $793.95 / $1,145.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.16 / $964.80 / $1,529.94