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Montana rates for HCPCS 53621

Dilation of urethral stricture by passage of filiform and follower, male; subsequent

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $162.18 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $120.23 / $257.04
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $186.21 / $295.12
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $186.21 / $295.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $138.04 / $269.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $112.20 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $169.82 / $281.84