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Montana rates for HCPCS 54522

Orchiectomy, partial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.35 / $612.39 / $3,107.97
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
$925.41 / $925.41 / $925.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.82 / $925.41 / $984.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.83 / $1,079.00 / $1,113.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.07 / $835.69 / $1,205.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.60 / $1,054.61 / $1,606.72