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Montana rates for HCPCS 54050

Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.87 / $136.30 / $557.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.83 / $169.83 / $229.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.22 / $175.76 / $229.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.60 / $169.83 / $236.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.01 / $222.13 / $399.59