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Montana rates for HCPCS 54125

Amputation of penis; complete

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.42 / $1,292.42 / $1,292.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.26 / $1,517.10 / $1,555.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.81 / $1,031.81 / $1,031.81