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Montana rates for HCPCS 54318

Urethroplasty 3rd Stg Hypospadias Rpr Rls Penis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.85 / $3,751.88 / $3,751.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.48 / $1,120.48 / $1,120.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.16 / $1,120.48 / $1,200.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.46 / $1,326.65 / $1,372.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.85 / $1,010.88 / $1,458.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.92 / $1,224.92 / $1,946.21