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Montana rates for HCPCS 54316

Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.18 / $5,243.69 / $5,243.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,557.95 / $1,557.95 / $1,557.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.49 / $1,557.95 / $1,667.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.90 / $1,877.85 / $1,953.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.06 / $1,411.74 / $2,036.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,473.39 / $1,717.98 / $2,708.40