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Montana rates for HCPCS 53601

Dilat Urethral Strix Dilator Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.38 / $92.40 / $280.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.08 / $83.08 / $83.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.08 / $89.63 / $135.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.66 / $151.44 / $157.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.98 / $87.63 / $135.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.82 / $138.61 / $234.94