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Montana rates for HCPCS 54405

Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir

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
$1,268.23 / $1,268.23 / $1,268.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.80 / $1,512.55 / $1,550.26