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Montana rates for HCPCS 54385

Plastic operation on penis for epispadias distal to external sphincter; with incontinence

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.59 / $4,897.03 / $4,897.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.20 / $1,461.20 / $1,461.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.54 / $1,461.20 / $1,737.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.14 / $1,879.79 / $1,886.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.21 / $1,321.96 / $1,906.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.67 / $1,664.08 / $2,538.17