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Montana rates for HCPCS 54400

Insertion of penile prosthesis; non-inflatable (semi-rigid)

Insurance Carrier
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
$839.18 / $839.18 / $839.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.95 / $990.60 / $1,016.43