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Montana rates for HCPCS 54205

Njx Peyronie W/Surg Expos Plaque

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.28 / $2,811.21 / $2,811.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.75 / $840.75 / $840.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.32 / $840.75 / $887.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.49 / $996.45 / $1,023.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.66 / $757.07 / $1,092.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.41 / $665.41 / $10,167.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.92 / $921.61 / $1,455.94