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Montana rates for HCPCS 54380

Plastic operation on penis for epispadias distal to external sphincter;

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.27 / $832.30 / $4,212.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.60 / $1,255.60 / $1,255.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.81 / $1,255.60 / $1,334.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.37 / $1,502.80 / $1,538.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.67 / $1,135.11 / $1,637.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.11 / $1,385.40 / $2,181.15