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Montana rates for HCPCS 54120

Amputation of penis; partial

Insurance Carrier
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
$1,000.00 / $1,000.00 / $1,000.00
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,096.48 / $1,318.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $933.25 / $1,202.26