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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
$9,120.11 / $9,120.11 / $14,791.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,621.81 / $1,862.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,258.93 / $1,698.24