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Montana rates for HCPCS 57423

Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,122.40 / $9,122.40 / $14,793.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,468.56 / $1,468.56 / $1,468.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.01 / $1,635.40 / $1,715.34