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Montana rates for HCPCS 54231

Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.55 / $609.10 / $750.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.97 / $194.97 / $232.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.77 / $181.40 / $251.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.97 / $240.12 / $394.05