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Montana rates for HCPCS 54100

Biopsy of penis; (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $193.55 / $332.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.87 / $190.87 / $384.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.87 / $190.87 / $190.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.87 / $210.10 / $327.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.56 / $343.85 / $371.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $211.00 / $327.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.79 / $340.20 / $560.55