go back

Montana rates for HCPCS 54520

Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,490.42 / $7,490.42 / $7,490.42
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
$520.02 / $520.02 / $520.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.07 / $602.54 / $623.65