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Montana rates for HCPCS 57250

Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $6,606.93 / $14,125.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,122.02 / $1,230.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $831.76 / $1,174.90