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Montana rates for HCPCS 53855

Insert Temp Prostatic Ureth Stent W/Measurement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.78 / $432.76 / $4,055.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.24 / $137.93 / $1,271.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.12 / $634.16 / $1,239.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.23 / $1,223.22 / $1,824.11