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Montana rates for HCPCS 54220

Irrigation of corpora cavernosa for priapism

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.49 / $206.15 / $242.93
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
$211.37 / $211.37 / $211.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.37 / $225.23 / $352.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.08 / $384.15 / $397.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.69 / $228.53 / $352.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.93 / $364.19 / $608.66