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Montana rates for HCPCS 54650

Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.54 / $2,986.32 / $3,754.17
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
$1,122.06 / $1,122.06 / $1,122.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.24 / $1,122.06 / $1,187.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.73 / $1,313.00 / $1,351.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.50 / $1,011.85 / $1,459.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.20 / $1,212.45 / $1,947.13