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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
$131.83 / $173.78 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $181.97 / $234.42
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $239.88 / $269.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $158.49 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $218.78 / $331.13