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Montana rates for HCPCS 54420

Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.20 / $3,711.54 / $3,711.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.23 / $1,105.23 / $1,105.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.68 / $1,105.23 / $1,175.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.45 / $1,320.80 / $1,353.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.76 / $998.75 / $1,440.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.32 / $1,219.80 / $1,919.37