go back

Montana rates for HCPCS 57335

Vaginoplasty Intersex State

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.34 / $1,233.16 / $6,137.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,865.01 / $1,865.01 / $1,865.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.24 / $1,865.01 / $1,865.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.11 / $2,063.10 / $2,169.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.81 / $1,703.89 / $2,457.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.75 / $2,031.36 / $3,269.86