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Montana rates for HCPCS 54336

1-Stage Perineal Hypospadias Repair Requiring Extensive Dissection To Correct Chordee And Urethroplasty By Use Of Skin Graft Tube And/Or Island Flap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.14 / $6,258.32 / $6,258.32
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
$1,859.75 / $1,859.75 / $1,859.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.50 / $1,859.75 / $1,986.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.48 / $2,152.80 / $2,262.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.86 / $1,684.48 / $2,429.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,786.21 / $2,119.67 / $3,232.88