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Montana rates for HCPCS 54164

Frenulotomy Penis

Insurance Carrier
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
$308.64 / $308.64 / $308.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.26 / $356.20 / $370.01