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Montana rates for HCPCS 54150

Circumcision, using clamp or other device with regional dorsal penile or ring block

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
$151.36 / $151.36 / $151.36
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $251.19 / $275.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $181.97 / $323.59