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Montana rates for HCPCS 57220

Plastic Urethral Sphincter Vaginal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $0.89 / $0.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.55 / $551.55 / $551.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.74 / $561.60 / $595.82