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Montana rates for HCPCS 57160

Fit&Insj Pessary/Oth Intravaginal Support Devi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.53 / $244.53 / $244.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $79.88 / $251.10
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$23.51 / $121.36 / $180.45
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$9.40 / $48.55 / $72.18
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
$72.03 / $72.03 / $117.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.03 / $72.03 / $72.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.03 / $78.56 / $126.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.53 / $132.60 / $142.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.97 / $77.81 / $126.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.93 / $118.32 / $207.21