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Montana rates for HCPCS 57311

Closure of urethrovaginal fistula; with bulbocavernosus transplant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.22 / $2,874.56 / $2,874.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.72 / $880.72 / $880.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.33 / $880.72 / $880.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.61 / $960.70 / $991.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.51 / $797.35 / $1,150.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.78 / $940.79 / $1,529.94