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Montana rates for HCPCS 54416

Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.52 / $1,131.52 / $1,131.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.89 / $1,320.15 / $1,358.61