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Montana rates for HCPCS 54312

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.08 / $851.41 / $4,313.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.58 / $1,285.58 / $1,285.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.70 / $1,285.58 / $1,365.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.84 / $1,541.15 / $1,604.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.14 / $1,161.32 / $1,675.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.22 / $1,394.76 / $2,233.88