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Montana rates for HCPCS 54163

Repair incomplete circumcision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,949.80 / $6,949.80 / $6,949.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.55 / $347.55 / $347.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.11 / $403.65 / $418.72