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Montana rates for HCPCS 54308

Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.10 / $757.04 / $3,772.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.26 / $1,126.26 / $1,126.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.71 / $1,126.26 / $1,193.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.04 / $1,344.20 / $1,400.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.38 / $1,017.67 / $1,467.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.68 / $1,280.92 / $1,957.29