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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 / $8,219.42 / $14,060.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.46 / $977.46 / $977.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.37 / $1,173.90 / $1,242.85