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Montana rates for HCPCS 54326

1-Stage Distal Hypospadias Repair (With Or Without Chordee Or Circumcision); With Urethroplasty By Local Skin Flaps And Mobilization Of Urethra

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.41 / $4,971.24 / $4,971.24
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
$1,477.50 / $1,477.50 / $1,477.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.97 / $1,477.50 / $1,580.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.63 / $1,732.25 / $1,783.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.92 / $1,336.52 / $1,927.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.15 / $1,636.20 / $2,567.80