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Montana rates for HCPCS 54352

Revision Prior Hypospadias Repair Dsj&Exc Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.31 / $1,655.64 / $7,446.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,208.89 / $2,208.89 / $2,208.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.38 / $2,208.89 / $2,366.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.26 / $2,674.10 / $3,044.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.73 / $2,003.80 / $2,890.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,922.77 / $2,454.61 / $3,844.29