go back

Montana rates for HCPCS 54001

Slitting of prepuce, dorsal or lateral (separate procedure); except newborn

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.96 / $736.59 / $1,033.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.41 / $222.41 / $315.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.41 / $222.41 / $222.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.41 / $231.64 / $315.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.91 / $349.70 / $362.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.35 / $222.41 / $316.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.39 / $327.45 / $547.59