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Montana rates for HCPCS 57284

Paravaginal Defect Repair Open Abdominal Appr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.65 / $4,332.60 / $4,332.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.65 / $1,317.65 / $1,317.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.13 / $1,317.65 / $1,351.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.00 / $1,466.40 / $1,532.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.63 / $1,202.57 / $1,734.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.56 / $1,432.80 / $2,301.39