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Montana rates for HCPCS 54235

Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.76 / $95.00 / $385.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.20 / $116.20 / $143.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.20 / $116.20 / $116.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.81 / $123.38 / $150.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.59 / $165.75 / $172.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.95 / $116.20 / $162.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.56 / $149.28 / $247.91