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Montana rates for HCPCS 57310

Closure Urethrovaginal Fistula

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.82 / $2,543.63 / $2,543.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.39 / $782.39 / $782.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.03 / $782.39 / $782.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.06 / $843.05 / $871.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.99 / $708.05 / $1,021.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.95 / $830.08 / $1,358.81