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Montana rates for HCPCS 54055

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.57 / $124.37 / $231.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.47 / $152.47 / $263.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.35 / $154.81 / $219.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.39 / $152.47 / $219.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.73 / $211.81 / $381.11