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Montana rates for HCPCS 57289

Pereyra Px W/Anterior Colporrhaphy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.49 / $4,105.81 / $4,105.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,260.33 / $1,260.33 / $1,260.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.18 / $1,260.33 / $1,260.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.21 / $1,320.80 / $1,365.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.34 / $1,151.13 / $1,660.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.55 / $1,313.70 / $2,207.05