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Montana rates for HCPCS 57150

Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.12 / $49.95 / $92.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.49 / $40.49 / $91.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.49 / $40.49 / $40.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.49 / $47.72 / $91.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.53 / $85.15 / $88.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.34 / $57.91 / $96.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.84 / $89.32 / $161.87