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Montana rates for HCPCS 54130

Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.98 / $6,276.04 / $6,276.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,867.64 / $1,867.64 / $1,867.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.13 / $1,867.64 / $1,992.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.35 / $2,233.40 / $2,285.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.72 / $1,691.76 / $2,440.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.36 / $2,067.61 / $3,247.67