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Montana rates for HCPCS 54620

Fixation Contralateral Testis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.39 / $308.67 / $466.98
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
$469.54 / $469.54 / $469.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.59 / $469.54 / $501.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.28 / $561.60 / $575.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.42 / $423.67 / $611.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.64 / $518.39 / $816.76